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
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DFW Adventure Boot Camp Registration

We're excited you've decided to sign up for this new adventure. If you have any questions about the registration process, please call us at (817) 319-9392.

Once you've submitted your registration below, you have three payment options (cash, check, or PayPal):
A. Check: If paying by check, you can bring it to your pre-camp evaluation or mail it to DFW Adventure Boot Camp, 501 Trophy Lake Dr., Suite 314 #183, Trophy Club, TX, 76262.
B. Cash: You may bring cash to your pre-camp evaluation or to your first day of camp. 

C. PayPal: Once you submit your registration information below, select PayPal as your payment option. 
Choose your camp # and finish your online registration. A PayPal account is not required to pay via PayPal.

NOTE: Because spaces fill quickly for this unique experience, we cannot guarantee your space until payment is made.

After submitting your registration, you will be contacted to schedule your private 45 minute pre-camp evaluation. Your post evaluation will occur the weekend following the last day 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:
Emergency Contact Information: Name: Phone Number:
Please select the Camp Session and the Number of Days Per Week you are registering for below.
Camp Location/Session/Time:      Number of 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. Since each class is only 4 weeks, we recommend you choose the 5-day a week program for optimal results. 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 prescriptions?
List Medications:  
3. Do you have a seizure disorder (epilepsy)?
List Medications:  
4. Do you have diabetes ?
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 ?
Heart Disease:
 
Lung Disease:  
Kidney Disease:  
Liver Disease:  
8. Do you have asthma?
List Medications:  
9. Have you ever had a severe neck injury?
 
If yes, please describe:
10. Have you ever been knocked out?
 
If yes, please describe:
11. Do you wear glasses or contact lenses?
12. Have you had a broken bone or fracture in the past 2 years?  
If yes, please describe:
13. Have you ever injured your back?  
If yes, please 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?
 
If yes, please describe:
16. Do you have other physical conditions that cause pain?  
If yes, please describe:
17. Detail any surgical procedures you've had:
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 doctor's advice before beginning any health/fitness/nutrition program!

RELEASE
This release is entered into between the undersigned and DFW 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 119 Summit Cove, 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 DFW Adventure Boot Camp is to provide fitness instruction and coaching for various levels of athletes/individuals.

The undersigned hereby acknowledges that the following was explained to me and/or agree to the following:

1. Acknowledges that Anna McKinnon, Katie Viator, Tarrah Lett, Suzette McAfee and other affiliated instructors are not 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 DFW Adventure Boot Camp does not guarantee either good nor bad will occur nor guarantees the training advice given by Anna McKinnon, Katie Viator, Tarrah Lett, Suzette McAfee, and other affiliated instructors including DFW 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 immediately alert the trainer and contact a physician.

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 DFW 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 DFW Adventure Boot Camp i(ncluding Anna McKinnon, Katie Viator, Tarrah Lett, Suzette McAfee and other affiliated instructors), 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.

The Undersigned agrees to confidentiality with respect to DFW Adventure Boot Camp and all services provided by same. The Undersigned agrees to refrain from disclosing, directly or indirectly, any and all aspects of DFW 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 10 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 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) toward a future camp if I'm not able to complete the one I originally joined.

I will arrive at camp on time. Any violation will result in 10 push ups. 

I understand that diet and nutrition will affect my fitness goals and performance during boot camp.

I will bring a positive attitude and expect to have fun!

Your signature will be required at the time of your evaluation that you agree to these terms. You must have a signed form before beginning your first boot camp.

____________________
Signature


 ____________________
Printed Name


____________________
Date
 

I agree to all Terms and Conditions listed above

 

For more information, contact us at (817) 319-9392 or email info@dfwbootcamp.com.
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