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

Boot Camp Registration

Oakland Adventure Boot Camp Class
REGISTRATION

Option A
If paying by check, please make check out to:
Oakland Adventure Boot Camp
1690 Arbutus Drive
Walnut Creek, CA 94595
info@oaklandbootcamp.com
Phone: (925) 285-5869

Option B
If registering 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 using a credit card or by transferring funds.
Choose your class and finish your online registration.
A PayPal account is not required to pay via PayPal.

*Transaction fee applied when using a credit card.

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

If you choose option A, Print this page and mail it in with payment.

If you choose option B: Fill out the form below and Click on SUBMIT.

You will be notified to schedule your pre-camp evaluation (if needed for your program).

RETURNING CAMPERS: have attended boot camp within the last 6 months and there are no changes to my personal or medical information that the Oakland Adventure Boot Camp and its instructors need to be aware of for the safety of my well being: .

Name
Address
City
State
ZIP
Profession
Country
Date of Birth (mm/dd/yyyy)
Phone Number Work Number
Fax Number  
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

Select camp location Select camp # and time. Choose your camp frequency/price.

Form of payment:    


A 10% discount is available when you enroll in 3 consecutive camps, please email us - info@oaklandbootcamp.com
(discount is only available on new purchases and does not include current or previous camp enrollment.)


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 Oakland Adventure Boot Camp, its officers, subsidiaries, affiliates, and executors in addition to the City of Oakland. The purpose of Oakland 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 Gunn & Jennie Votel is not 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 coaching/training is another tool for teaching athletes/individuals about themselves, but that Oakland Adventure Boot Camp does not guarantee neither good nor bad will occur nor guarantees the training advice given by Anna Gunn & Jennie Votel including Oakland 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 Oakland 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 Oakland Adventure Boot Camp including Anna Gunn & Jennie Votel 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 Oakland Adventure Boot Camp and all services provided by same. The undersigned agrees to refrain from disclosing, directly or indirectly, any and all aspects of Oakland Adventure Boot Camp.  The undersigned agrees to a non-compete within a 50 mile radius of Oakland for a period of  5 years from date of participation.

REFUND POLICY:
If you are unable to attend camp due to circumstances out of your control, we can offer you a refund if you notify us prior to your session start date, however we will charge a $50.00 cancellation fee. If we are notified after your session begins, we can only give you a credit towards another boot camp. This credit is nontransferable. Credit is not given towards any other program offered. There is no cash refund.

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 eat or say the words Twinkie, Donuts, Ho-Ho's, Ding Dong, or Cup Cake during the course of Boot Camp. Any violation will result in twenty push-ups per occurrence.

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 that once camp begins, there are no refunds, class carry-overs, or credits. Purchases are non-transferable. Credits may be granted in the case of medical conditions with a physician's note and extreme family emergencies. Such credits are not retroactive and can only be applied once Oakland Adventure Boot Camp has been notified of the situation. Camp fees cannot be used toward any other products or services provided by Oakland Adventure Boot Camp.

I will remember to set my alarm and be at camp on time.

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

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

I agree to all Terms and Conditions listed above

Electronic Signature

Date (MM/DD/YYYY)

For More Information, Contact us at (925) 285-5869 or e-mail info@oaklandbootcamp.com
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