Fitness Bootcamp Registration Form
Fitness Bootcamp Registration Form
Please complete this form to join our upcoming fitness bootcamp.
Personal Information
Name
Phone Number
Address
Date of Birth
Emergency Contact
Name
Relation to Participant
Phone Number
Fitness Background
Current Fitness Level
Primary Fitness Goal
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Weight Loss
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Muscle Building
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Endurance
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Flexibility
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General Fitness
Frequency of Exercise
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Rarely
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1-2 times/week
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3-4 times/week
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5+ times/week
Preferred Training Intensity
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Low
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Moderate
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High
Medical Information
Please note any health conditions or injuries that may affect your participation. Please provide if required by the program
Medical Conditions or Injuries
List Conditions or Injuries.
Allergies (if any)
Physician’s Clearance
Please provide if required by the program.
Bootcamp Session Preference
Select the session(s) you are interested in attending if multiple options are available.
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Morning Bootcamp
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Afternoon Bootcamp
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Evening Bootcamp
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Weekend Bootcamp
Additional Information
Share any specific goals, concerns, or special requirements.
Waiver and Agreement
Please confirm your agreement to the following terms:
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I agree to follow all safety instructions and understand that participation is at my own risk.
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I acknowledge that any injuries or health issues arising from participation are my responsibility.
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I agree to inform instructors of any relevant health concerns before each session.
Signature
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By signing below, I confirm that the information provided is accurate and that I agree to follow the rules and guidelines of the fitness bootcamp.
Name:
Date:
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