Registration Bootcamp

Contact Info Name: _________________________ _______________ D.O.B.: __ __ _/__ _ __/_ _ _ __ Address: _____________________ _ ________________ City/ State/ Zip: _________________________________ Phone #: (___ __) ___ ____-_____

____ Email: ______

Emergency Contact Name: __________________ Emergency Phone #: (___ __) ___ ____-_____ _

______ _____________ ____

_______________ ___

Relationship to Emergency Contact: ______________

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Other ___________________ _________ How many classes a week would you like to attend? __________________ List any additional times you would like to be added to schedule? __________________ List the areas of your body that you would like to see the class focus on? Initial Below Items: ___________ I understand that diet and nutrition will affect my ability to achieve my fitness goals. ____________ I understand that classes are held rain or shine. ____________ I understand that if I miss a class, I can make it up at another date and/or time within that 4-week Fitness Boot Camp session. If notified before the beginning of the Fitness Boot Camp session you can make up the sessions as indicated above or we can give an equivalent credit towards the purchase of your next 4-week Fitness Boot Camp session.

(562) 533 – 2023

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____________ I understand that I may bring a friend for any ONE free class as my guest with 24-hours advance notice given to my instructors. I understand that any additional classes that the aforementioned guest wishes to attend must be paid in full. ____________ I understand that photos/video may be taken during the course of my involvement in Outdoor Boot Camp, and that they may be used for promotional purposes.

Waiver & Release Form Because physical exercise can be strenuous and subject to risk of serious injury, we urge you to obtain a physical examination from a doctor before using any exercise equipment or participating in any exercise activity. I, the undersigned, being aware of my own health and physical condition, and having knowledge that my participation in any exercise program may be injurious to my health, am voluntarily participating in a physical activity, and do so at my own risk. Having such knowledge, I hereby acknowledge and release Total Training by Tammy, Tammy Niemann, and any representatives, agents, and successors from liability for accidental injury or illness, which I may incur as a result of participating in the said physical activity. I hereby assume all risks connected therewith and consent to participate in said program. I agree to disclose any physical limitations, disabilities, ailments, or impairments, which may affect my ability to participate in said fitness program. I choose to participate of my own free will. In consideration of the permission to participate extended to me and for the services furnished to me; I do hereby for myself, my heirs, spouse, children, unborn children, personal representatives, and agents release and forever discharge any and all claims, demands, actions or lawsuits on account of my injury or death that might occur as a result of negligence on the part of myself or other persons affiliated or not affiliated with this contract.. If any portion of this release from liability shall be deemed by a Court of competent jurisdiction to be invalid, then the remainder of this release from liability shall remain in full force and effect and the offending provision or provisions severed here from. By signing this release, I acknowledge that I understand its content and that this release cannot be modified orally.

Signed: ___________________________________ Printed Name: _____________________________ Dated: _____/_____/________

(562) 533 – 2023

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Physical Activity Readiness Questionnaire Regular physical activity is fun and healthy, and increasingly more people are starting to become more active every day. Being more active is very safe for most people. However, some people should check with their doctor before they start becoming much more physically active. If you are planning to become much more physically active than you are now, start by answering the seven questions in the box below. If you are between the ages of 15 and 69, the PAR-Q (Physical Activity Readiness Questionnaire) will tell you if you should check with your doctor before you start. If you are over 69 years of age, and you are not used to being very active, check with your doctor.

Common sense is your best guide when you answer these questions. Please read the questions carefully and answer each one honestly: Check YES or NO. 1. Has your doctor ever said you have heart trouble? Yes ___

No ___

2. Do you frequently have pains in your heart and chest? Yes ___

No ___

3. Do you often feel faint or have spells of severe dizziness? Yes ___

(562) 533 – 2023

No ___

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4. Has a doctor ever said your blood pressure was too high? Yes ___

No ___

5. Has your doctor ever told you that you have a bone or joint problem such as arthritis that has been aggravated by exercise, or might be made worse with exercise? Yes ___

No ___

6. Is there a good physical reason not mentioned here why you should not follow an activity program even if you wanted to? Yes ___

No ___

7. Are you over age 65 and not accustomed to vigorous exercise? Yes ___

No ___ If you

answered YES to one or more questions... If you have not recently done so, consult with your personal physician by telephone or in person before increasing your physical activity. Follow your doctor’s advice. If you answered NO to all questions... If you answered PAR-Q accurately, you have reasonable assurance of your present suitability for exercise. Begin slowly and build up gradually. Delay activity if... If you’re not feeling well due to temporary illness such as a cold or fever. Delay if you’re pregnant. Talk to your doctor first to determine if it is appropriate for you to become more active. Please note: If your health changes such that you could then answer YES to any of the above questions, tell your trainer. Ask whether you should change your physical activity plan. (562) 533 – 2023

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I have read, understood, and completed the questionnaire. Any questions I had were answered to my full satisfaction. Print Name: _________________________________ Signature: __________________________________ Date: ______________________________________

Progress Tracking

Name: Age: Height: Initial Dates: Weight: Chest: Waist: Belly Button:

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Frequently Asked Questions What do I need to bring to boot camp? You will need to bring the following: • One set of 5-8 lb. dumbbells • An exercise / yoga mat • A water bottle • Towel • Completed Registration Packet Since we meet outdoors, we advise dressing in layers (you will get warm), and don’t forget to wear sunscreen, comfortable gym clothes, and athletic shoes. Where are you located? Our Outdoor Boot Camp classes are conveniently located at Lake Park in Huntington Beach. And at University Community Park and Gabrielino Community Park in Irvine: Personal Training is located at: Back Bay Fitness 2675 Irvine Ave Suite A Costa Mesa, CA 92627 (949) 631-5587 (562) 533 – 2023

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What if I am not very fit? Our Fitness Boot Camp classes and personal training programs are designed to meet the needs of people of all different fitness levels. We will instruct you on how to alter the exercises so that you will be challenged whether you are a beginner or an advanced fitness enthusiast. Will you yell at me? We’ll challenge you, we’ll push you, and we’ll encourage you to try new activities that will test your strength, endurance, and courage. But we won’t yell, intimidate, or get in your face. We don’t need to. The motivation and friendly competition provided by your fellow Boot Campers will be all the motivation and encouragement you need to reach your goals!. What kind of people are enlisted at Boot Camp? Our Boot Camp attracts people of all shapes, sizes, ages and fitness levels! Our Boot Camp classes are great for: 9 to 5ers' who need to release stress, mom's that want to lose baby fat, busy professionals who want to get focused, students who need to get back on the right track, as well as conditioned athletes who want to step it up a notch. Our Fitness Boot Camp is basically for anyone who wants something different and wants RESULTS! What type of exercises will I be doing? Resistance training and cardiovascular exercise such as: Running (short distances), Push-ups, Sprints, Lunges,Jumping Jacks, Jump rope, Mat work, Weight Training, Stability Ball/Medicine Ball training, Stretching, Cone drills, Obstacle courses, and whatever else it takes to distract you from the fact that you're getting a great workout! Every day will be a completely different workout – never predictable – never boring and always FUN! What if I sign up for the two or three day plan and then want to upgrade to the 5-days a week camp? Don’t worry, after starting camp, many people realize how fun and convenient our Outdoor Fitness Boot Camp is and want to sign up for more days. They also realize that they will achieve greater results if they attend more often. In these situations, we will simply pro-rate the additional fee from the time you decide to sign up for more days. What do I do if I need to miss a class? (562) 533 – 2023

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We understand that unpredictable situations can arise, so you can make up any missed class within that four week schedule. You can make up the missed class by attending any of our class times and/or attending more than one session in a day. If you notify us that you have a need to miss a class at the time of signing up, you can either make it up as outlined above or we can deduct the pro-rated amount from the purchase of your next four week session. Where do I park for the Outdoor Boot Camp? There is ample free parking surrounding University Community Park, Gabrielino Community Park and Lake Park. Do we still meet for the Outdoor Boot Camp if it rains? Yes, we meet rain or shine so please come dressed appropriately. What if I have an injury? Please let us know immediately so we can advise you on how to alter the exercises in order to prevent further injury.

(562) 533 – 2023

www.totaltrainingbytammy.com

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