STEP 1: Boot Camp Re-Enlistment Form & Release

In order to use this form, each statement below must be true. Please check each box to confirm your agreement.
        I have attended an Austin Adventure Boot Camp within the past six (6) months.
        My personal contact information has not changed from my original registration.
        My emergency contact, medical history, and medical status have not changed.
Should any of these statements be untrue, then you will need to fill out a new registration form; otherwise, your original agreements on file are still binding.

CONTACT INFORMATION
First and last name:
E-mail address:
Confirm e-mail:
Home phone:
Mobile phone:
Emergency contact:    Phone:

CAMP SELECTION
WOMEN's ONLY camp location & date:

 NW = NorthWest   SW = SouthWest   CENT = Central Austin   BC = Bee Cave
 CP = Cedar Park   RR = Round Rock   PF = PFlugerville   KYLE = Kyle/Buda
 Click here to view map of boot camp locations.
CO-ED camp location & date:

 NW = NorthWest   SW = SouthWest   CENT = Central Austin   BC = Bee Cave
 CP = Cedar Park   RR = Round Rock   PF = PFlugerville   KYLE = Kyle/Buda
 Click here to view map of boot camp locations.
Camp format and number of days/week:
*Repeat camper discount rates will be available during check-out.

If purchasing individual classes, how many?  
(6 class minimum purchase per camp session: $17.00 each. NO repeat camper discounts.)

FITNESS BACKGROUND
I rate my current
fitness level as a:		 (1-10), 10 being high
Do you have any medical or physical conditions that you would like your coach to keep in mind? Describe:
Are you training for an event, such as a race, reunion, wedding, etc?
If so, what?
When?
Do you know anyone who would be interested in our boot camp program?
Name:
Phone:    Email address:
Comments:

RELEASE

This release is entered into between the undersigned and Austin Adventure Boot Camp. The purpose of Austin 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 Stephanie McDonald and the Austin Adventure Boot Camp Coaches 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 Austin Adventure Boot Camp does not guarantee neither good nor bad will occur nor guarantees the training advice given by Austin 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 inherent dangers of the natural elements, 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 and Austin 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 Austin Adventure Boot Camp, 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.

Check the following:

I will remember to set my alarm and be at camp on time. Any violation will result in twenty push-ups per occurrence.
I agree that I will not consume alcohol during the month of Boot Camp. Any violation will result in twenty push-ups per occurrence.
I agree not to use foul language during 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 by electing to receive the "re-enlisted" camper discount that I will not receive another free Austin Adventure Boot Camp t-shirt. I may, however, purchase an additional t-shirt for $12.
I also understand that as a "re-enlisting" camper, I am eligible to receive a "repeat camper discount" as established by Austin Adventure Boot Camp. I understand that this discount has been set to be fair and equitable for all returning boot campers, and I agree not to ask for any additional discounts.
I understand there is no refund policy. By signing up for camp, I am making a commitment to myself. I am committed to a fit and healthy lifestyle. I understand that Austin Adventure Boot Camp will accept no excuses for my failure to fulfill my commitment to myself.

Your signature will be required at the time of your evaluation, and you agree to the terms now!

PAYMENT

NOTE: Your registration will be confirmed only after receipt of payment. Space is limited, so please submit your payment immediately. There will be a $5 late fee incurred for each day past the first day of camp that your payment is late.

Please select your payment method:
Using a coupon.* Amount: 
  Coupon source:   Specifics:
*Please review the NOTE below regarding payment and coupon processing.
Using a gift certificate.* Amount: Gift cert number (if available):     
  Gift cert source:   Specifics:
*Please review the NOTE below regarding payment and gift cert processing.
  NOTE:  If paying onine, coupon and gift certificate amount will be manually refunded after completion of payment. Restrictions apply. Limit one coupon or gift certificate per person. May NOT be combined with any other offer. Please submit your coupon or gift certificate to your coach on the first day of camp.
 
Paying online by credit card or e-check.
 
Name* on account:
NOTE: *Name is required so that we can match your registration form to your payment. After submitting your registration form, you will be directed to the boot camp payment page where you must select the appropriate camp format. All e-check and credit card payments will be processed through PayPal. No PayPal account required.

NO PAPER PERSONAL CHECKS WILL BE ACCEPTED -- ONLY ONLINE E-CHECKS.

By submitting this form, you are agreeing to the terms above!