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Women's Adventure Fitness Boot Camp in Dallas Fort Worth, bootcamp for women, adventure boot camp, womens fitness program, womens weight loss, exercise camp, womens camp, exercise, workout programs, outdoor exercise

Boot Camp Registration

Dallas Fort Worth Adventure Boot Camp Class
REGISTRATION

You now have 2 options:
A. You can click on SUBMIT to send your registeration via internet, then mail your check to DFW Adventure Boot Camp to the address below.
B. Register Online
Fill out the online form below to register via internet. Click on Submit to go to the payment page.
Payment Page: Pay via Paypal. Choose your camp # and finish your online registration. A PayPal account is not required to pay via PayPal.

NOTE: Spaces fill quickly for this unique experience. We cannot guarantee your space until we have received payment.

If paying by check, please make check out to:
DFW Adventure Boot Camp
2001 Holley Pkwy #1222
Roanoke, Texas 76262

Phone: (817) 319-9392
Fax: (817) 491-2284

If you choose option A, Click on Submit to send via internet, mail your payment to address below.

If you choose option B: Fill out the form below and Click on SUBMIT. You will then be instructed how to pay via PayPal.

You will be notified to schedule your private 45 minute pre-camp evaluation:Post-evaluation is scheduled the last Friday and Saturday of camp.
Name
Address
City
State
ZIP
Profession
Height
Date of Birth	(mm/dd/yyyy)
T-Shirt Size
Home Number		Work Number
Cell Number		Please indicate which number is the best one to reach you.
Email Address
I rate my current fitness level as a (1-10), ten being high.
I was referred by:
How did you hear about us?:		Please specify publication / website / friend or other referral:
This is my first camp:	Yes \| No	If you answered "no", when was the last camp you attended:
My Main goal is:
Name of Emergency Contact & Phone Number
Please select the Camp Session, Time, and Days Per Week you are registering for below.
Camp Session: Time: Days Per Week:
Form of payment:
$299 (5 days/week) $249.00 (4 days/week)\| $199 (3days/week) This option is for those who have other commitments in the early a.m. Since it is only a 4-week class, we do prefer you to attend the full 5-day a week program for best results and overall work-out! You can do it!! ) MEDICAL HISTORY (If you are a returning camper, only complete the sections that have changed.)
1. Are you allergic to any medication (aspirin, penicillin, sulfa, etc.)?
List Medications:
2. Do you take any prescribed medication on a permanent or semi-permanent basis?
List Medications:
3. Do you have a seizure disorder (epilepsy)?
List Medications:
4. Do you have diabetes Adult or Juvenile?
5. Have you ever been found to be anemic (low blood count)?
6. Do you have High Blood Pressure (hypertension)?
List Medications:
7. Do you have or have you ever had the following diseases?
Heart Disease:
Lung Disease:
Kidney Disease:
Liver Disease:
8. Do you have asthma?
List Medications:
9. Have you ever had a severe neck injury?
Describe:
10. Have you ever been knocked out?
Describe:
11. Do you wear glasses or contact lenses?
12. Have you had a broken bone or fracture in the past 2 years?
Describe:
13. Have you ever injured your back?
Describe:
14. Do you have back pain?
15. Have you had knee pain in the past 2 years that has disabled you for longer than a week?
Describe:
16. Do you have other physical conditions which cause pain?
Describe:
17. Detail any surgical procedures:
18. What are your goals for the next three months?
19. Have you had your body fat tested?		If yes, what percent is it?
20. Are you training for a specific event? If yes, explain:
NOTICE: It is wise to seek your doctors advice before beginning any health/fitness/nutrition program! RELEASE This release is entered into between the undersigned and Dallas/Fort Worth Adventure Boot Camp, its officers, subsidiaries, affiliates, and executors in addition to the City of Southlake,Texas, Carroll High School, located at 800 N. White Chapel, Southlake, TX., the property of 221 Inverness Drive, Trophy Club, TX, City of Colleyville, Texas, Colleyville Middle School, located at 1100 Bogart Dr. Colleyville, TX, Colleyville Elementary School, located at 5911 Pleasant Run, Colleyville, TX. , City of Keller, TX. and 1100 Bear Creek Pkwy.,Keller, TX. The purpose of Dallas/Fort Worth Adventure Boot Camp is to provide fitness instruction and coaching for various levels of athletes/individuals. The undersigned hereby acknowledge that the following was explained to me and/or agree to the following: 1. Acknowledges that Anna McKinnon, Suzie Donaldson, and Jeff Underhill are not a physicians and are not trained in any way to provide medical diagnosis, medical treatment, or any other type of medical advice. 2. Acknowledges that coaching/training is another tool for teaching athletes/individuals about themselves, but that Dallas/ Fort Worth Adventure Boot Camp does not guarantee neither good nor bad will occur nor guarantees the training advice given by Anna McKinnon, Suzie Donaldson, or Jeff Underhill, including Dallas/ Fort Worth Adventure Boot Camp will produce good nor bad results. 3. Acknowledges that the undersigned has been told if they feel tired, feel pain or feel out of the ordinary in any way either related to your training, or otherwise, that the undersigned should contact a physician at once. 4. Acknowledges that boot camps, aerobic classes, martial arts, kick boxing, running, kung-fu, weight training, obstacle courses, and any other related sports 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 risks of participating in these types of events/activities including the elements of a natural environment, 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 waive, release, discharge and agree not to sue from any liability of death, disability, personal injury, or action of any kind Dallas/ Fort Worth Adventure Boot Camp for the undersigned participating in said sporting events and/or training for said sporting events. The Undersigned agrees that this is the full agreement between the parties, that Dallas/ Fort Worth Adventure Boot Camp including Anna McKinnon, Suzie Donaldson, and Jeff Underhill, 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 or coercion. Customer client agrees to confidentiality with respect to Dallas/ Fort Worth Adventure Boot Camp and all services provided by same. The undersigned agrees to refrain from disclosing, directly or indirectly, any and all aspects of Dallas/ Fort Worth Adventure Boot Camp. The undersigned agrees to a non-compete within a 50 mile radius of Dallas Fort Worth for a period of 5 years from date of participation. Checkmark the following: I agree not to use foul language during Boot Camp. Any violation will result in twenty push-ups per occurrence. I agree not to say anything negative about myself or my body. Any violation will result in 10 push-ups per occurence. I agree to show up for Boot Camp every day unless it is an excused absence from my doctor or pre-approved with Boot Camp directors. Any violation will result in twenty push-ups per occurrence. I understand that photos or video may be taken during the course of my involvement in Boot Camp, which may be used for promotional purposes. I understand that my "before & after" photos will not be used for any promotional purposes unless I give written authorization. I understand there is no refund policy, but I can receive a credit (for unused portion of camp) towards a future camp if I'm not able to complete the one I originally joined. Camp fees can not be used towards any other products or services provided by Dallas/ Fort Worth Adventure Boot Camp. I will remember to set my alarm and be at camp on time. I understand that diet and nutrition will affect my fitness goals and performance during boot camp, I promise to limit my intake of alcohol. I will bring a positive attitude, and expect to have fun! Your signature will be required at the time of your evaluation and you agree to the terms now! ____________________ Signature ____________________ Printed Name ____________________ Date
I agree to all Terms and Conditions listed above

For More Information, Contact us at (817) 319-9392 or e-mail info@dfwbootcamp.com