FIRST TIME REGISTRATION FORM
.Copyright 2008 Better Body Boot Camp. All rights Reserved.
Which camp and time are you attending? Please choose a time by clicking on the arrow in the box.
Disclaimer
During your exercise program, every effort will be made to assure your safety. However, as with any exercise program, there are risks, including increased heart stress and the chance of musculoskeletal injuries. In volunteering for this program, you assume responsibility for these risks and waive any possibility for personal damage. You also agree that, to your knowledge, you have no limiting physical conditions or disability that would preclude an exercise program. If you do have any medical issues that may be of concern, you further agree that a physician has cleared you to participate in a training and nutrition program.
A physician’s examination is recommended for (1) all participants with any exercise restrictions; and (2) all men >44 years old and all women >54 years old. Coaching participants in either or both of these categories who do NOT have prior physician examination MUST acknowledge they have been informed of its importance. By signing below, you accept full responsibility for your own health and well-being and you acknowledge an understanding that the leaders of this program assume no responsibility. This release is entered into between the undersigned and Better Body Boot Camp/A4J, Inc. The purpose of Better Body Boot Camp is to provide fitness instruction for various levels of athletes and individuals. The undersigned hereby acknowledges that the following was explained to me and/or agrees to the following:
1. Acknowledges that A4J,Inc., nor any employee of Better Body Boot Camp is a physician, and is not trained in any way to provide medical diagnosis, medical treatment, or any other type of medical advice.
2. Acknowledges that the undersigned has been told that if they feel tired, feel pain, or feel out of the ordinary in any way either related to training, or otherwise, that the undersigned should contact a licensed physician at once.
4. Acknowldedges that boot camps, aerobic classes, martial arts, kick boxing, running, sprinting, jumping, kung-fu, weight training, obstacle courses, and any other related sports or activities are an extreme test of one's mental and physical limits and carry with it potential for damage or loss of property, serious injury and death. That the undersigned assumes the sole risks of participating in these types of events/activities including the inherent dangers of the natural elements, that they are fit, and they have a regular medical physician they can contact regarding any medical problems that they might develop. The undersigned expressly waives, releases, discharges, and agress not to sue from any liability of death, disability, personal injury, or action of any kind and Better Body Boot Camp/ A4J, Inc.for the undersigned participating in said sporting events/activities and/or training for said sporting events/activites.
The undersigned agrees that this is the full agreement between the parties, that Better Body Boot Camp, nor anyone else has not verbally contradicted any of the terms of this release and that the undersigned has entered into this agreement free and voluntarily without force, therat of force, fraud, or coercion.
By checking this box, I, the undersigned agree to the terms set forth above:
I will not use foul or offensive language of any kind.
I will not ridicule or mock any other participant. Better Body Boot Camps are a safe environment for everyone to push themselves physically and mentally and I will make it a point to foster this environment. If I do hurt someone else physically or create an environment that is hurtful or unsafe for others, then I will be asked to leave the camp without a refund.
I will listen to the coach’s instruction without side talk or interruptions. If you fail to do so and the coach has to repeat him or herself as a result of this, you will be given one warning. If you continue to be a disruption, then you will be asked to leave the current workout in the best interests of the group. However, please feel free to push and encourage each other during all other times.
I fully understand that it is entirely up to me, and me alone, to do what has to be done to get results. Therefore, I understand that:
Exercise AND Nutrition will directly affect any goals to be achieved from the Boot Camp (both good and bad). I FULLY understand that I should not expect noticeable results if I am less than 90% compliant to BOTH my exercise program AND my nutrition program.
I agree to come to every workout in a timely manner by arriving to perform my pre-workout routine at least 5-10 minutes, before the official start of the workout. I will not be allowed to participate if I arrive more than 10 minutes after the official start of that workout, as I will have missed the critical group warm-up. I understand that this warm-up is an essential part of having both a productive workout and preventing both short-term and long-term injuries. Furthermore, I will only be provided with one “late pass” per phase of the program, unless there are extenuating circumstances beyond my control as agreed upon by my head coach. I fully understand that if I am more than 10 minutes late on 2 separate occasions during any phase of the program, I will only be allowed to re-join the group during the next phase of the program without refund.I agree to come to every workout with the exception of a doctor-approved absence, family emergencies, or a pre-approved absence from a coach.
*I understand that there are no refunds and no make ups for absences. No exceptions!* I am committed to consistently attending the scheduled Boot Camps, so this is not a concern for me. I will also give camp a fair chance and not give up without giving it a fair chance and letting the instructor give me the opportunity to
I understand that there are no refunds once the camp starts. If I cannot attend the camp, there is a refund minus $50+ any sessions used or a credit will be issued for a future camp of the same length.
I will have a positive attitude, have fun and not use the words “no”, “can’t”. Instead I will say, “ I will try my best” (or something like that). I will allow the coaches to push me and show me that I am stronger than I ever imagined.
By checking this box, I, the undersigned agree to the terms set forth above:
Better Body Boot Camp photo & video Release/Waiver
I am aware that Better Body Boot Camp may record workouts/ boot camps or take photos for later use on television segments, websites, promotional materials, or in any other way they see fit.
By checking this box, I, the undersigned hereby authorize Better Body Boot Camp to use my name and likeness, voice, verbal statements, video taped pictures for any of the aforementioned purposes.
Please list any injuries, chronic illnesses (diabetes, COPD, asthma, etc) chronic aches and pains, previous surgeries or any other physical condition or ailment that may manifest itself during training or affect your training? Please describe in detail below.
Please list previous sports or workout experience?
Are you currently on any medications? If so, please list:
Do you have any allergies to medications? If so, please list:
What prompted you to join this program?
What do you specifically hope to accomplish during this session?
Are you willing to commit to coming to every workout to make your goals a reality?
You are almost done registering for Better Body Boot Camp, please press the submit button once to send your info and take care of online payment.
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Attention:Only fill this form out if you have never participated in a Better Body Boot Camp before. For returning Better Body Boot Campers, please click on returning Boot Campers registration tab above.
Payment
Please choose a form of payment:
If paying by check, please make check payable to: Better Body Boot Camp and mail to: PO Box 735, Oregon City,Oregon 97045
How did you hear about us?
*If paying by check we must recieve your check before you start camp, no exceptions*
Notice: All camps are 4 weeks in length unless otherwise stated, there are no make ups or carry over sessions for missed camp sessions
