Registration Form

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Personal Information		Fitness History		Release		Schedule		Payment

NEW - Gift Certificates Now Available!

Just in time for the holidays, we're now offering gift certificates! For more information or to purchase, click here. (Note: Link will open in a new window so you can complete your registration.)

Personal Information

You are about to begin an intense fitness program. You are strongly encouraged to speak with your doctor before beginning any health, fitness or nutrition program. By completing this registration form, you understand that it is your responsibility to consult your physician if you are unsure of your current ability to participate.

Every individual is different and will experience different results when participating in WoW! Boot Camp. If you want to lose weight and are under 18, pregnant, nursing, following a diet recommended by a doctor, have health problems or want to lose more than 30 pounds, see a doctor prior to starting WoW! Boot Camp.

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First Name:

Last Name:

Street Address:

City, State, Zip Code:

Phone Number(s):

Emergency Contact Name / Phone #:

Email Address:

Profession / Occupation:

Place of Employment:

Date of Birth:

Primary Physician's Name:

Primary Physician's Phone #:

T-shirt Size:

Have you ever participated in a fitness Boot Camp? If so, where and when?

Have you ever been involved in a fitness program or regular exercise routine? If so, please explain:

What do you hope to accomplish with this program?

Is there anything we should know that will help us better serve your needs?

How did you hear about WoW! Boot Camp?