* NOTE: All information in yellow boxes is required

* How did you hear about us?

Personal Information
* Name:  * Home #
* Address: Office #
  Cell #
* City:     
* State:    *Zip Code:     
* email address:    
  * D.O.B.     Height:     

Adventure Race Camps
 *Choose your session below
  $30.00 per class
Class Times: 10:30am
   Date:
   
What race are you training for?
Date of race
What part of race training are you struggling with?
What is your race goal?
Have you done an Adventure Race before?
What is your current level of fitness?
How many days a week can you commit to training on your own?

Health Information

* Please list any health concerns or injuries past and present that may effect your training.
   If there are none, just enter "None"

health concerns:

Boot Camps To Go Membership Agreement

Click here to view the agreement.

By Checking this box you are confirming that you have read the Membership agreement and agree to the terms and conditions within.


Emergency Care
By submitting this form I hereby give consent to the trainers to provide emergency care to me in the form of CPR or first aid in cases where it is deemed necessary. Any other treatment or care that is needed will be provided at my expense.
 Date

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