I authorize Shape Up Houston to release specific information gathered about me by Shape Up Houston with my selected employer or organizational group’s designated contact, for the purpose of determining eligibility for winning prizes, as designated by the employer or organizational group reward program. Shape Up Houston does not administer incentives or rewards to participants.
I understand that the information release will begin immediately and has no expiration date. I can stop sharing new information at any time by changing my preferences in the “My Account” of the Shape Up Houston website. This will not apply to information that has already been shared.
Protected personal health information like weight, blood pressure, cholesterol, and glucose will be kept strictly confidential, unless authorized in advance by me.
I understand that I cannot be denied access to online services at www.www.shapeuphouston.org/ based on a failure to agree to this Authorization, and that a refusal will not affect my ability to participate in Shape Up Houston programs.