Corporate Kickoff - Individual Submission

The Individual Competition Bracket is the paid competition at the 2021 Corporate Kickoff. Alternatively, Medicine in Motion members can submit their reps to their chapter leads to compete for their chapter for free in the Open Chapter Competition Bracket.

You're probably thinking, "Why should I participate in the Individual Competition Bracket?"...

Top competitors of the Individual Competition Bracket win free exclusive MiM New Balence gear

Your donation will support MiM's burnout research along with funding future chapter and corporate events

NB.MiM Study Tshirts.png

Convinced? Continue below or be sure to submit your reps to your chapter lead.

Step #1

Awesome, you're still here. There are two ways to pay your $10 registration fee:

1. Venmo

Payment to @medmotion and be sure to add your chapter and "Corporate Kickoff" in the comments section of your payment. Last 4-digits are 6966
 

2.  Donorbox

Link to Donorbox

Step #2

Fill in the form below to submit your reps. Best of luck!

arrow&v

Instructions for submission:
- One round consists of 54 total reps. Determine total number of reps completed for each participant then add them together and submit the total below.

Example:
Student 1 completes 4 rounds + 3 reps = (4x54) + 3 = 219

Want to be featured on MiM's website and social media? Add photos of you participating here.

Select File

Participant Release of Liability -   Assumption of Risk Agreement

In consideration of being allowed to participate in any way in Medicine in Motion programs, related events and activities, I the undersigned, acknowledge, appreciate, and agree that:

1. The risk of injury from the activities involved in Medicine in Motion programs is significant, including the potential for permanent paralysis and death.

2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation.

3. I willingly agree to comply with terms and conditions for participation. If I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately.

4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS Medicine in Motion, its members, officers, officials, agents and/or employees, other participants, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event (RELEASEES), from any and all claims, demands, losses, and liability arising out of or related to any INJURY, DISABILITY OR DEATH I may suffer, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

By signing my name below, I acknowledge that I have read the aforementioned and agree with the terms stated.