Boot Camp for Cans Registration 

Welcome to registration for the "Boot Camp for Cans" event planned for January 3rd.  Due to the active nature of this event, we require all participants to fill out the following waiver of liability and release form as well as bring a hard copy to the event.

Once you have completed the form, you will be re-directed back to the Exercise Kindness website to receive details to help you better prepare for boot camp.

ALL OF YOUR INFORMATION IS SAFE.  YOUR PERSONAL INFORMATION IS USED SOLELY FOR THIS EVENT.

We thank you for your participation!
 Registration Form 

Personal Information
 
First and Last Name:
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Email Address:
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Phone number:
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Date of birth (mm/dd/yy):
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Health History
 
Please list any medications you are taking below:
Do you have any health concern or issue that could keep you from performing certain exercises?
If you answered yes to any above please explain below:
 
Please Agree to Our Waiver of Liability and Indemnity Clause
 
By typing my name below I agree to the following. In consideration for being allowed to participate in the Boot Camp for Cans which I do freely and voluntarily for my own personal benefit I hereby agree on behalf of myself / my executors / heirs / next of kin / successors / and assigns to the following: waive and release from any and all liability Exercise Kindness / the Transformation Boot Camp / Fitness Now LLC / Mike Thornton / Brinker International / and all appointed instructors / franchise owner/operators / officials / employees / affiliates / and any other related party to the before mentioned including but not limited to my disability / personal injury / property damage / property theft / death / or actions or inactions of any kind which may hereafter accrue to me and to indemnify and hold harmless Exercise Kindness / the Transformation Boot Camp / Fitness Now LLC / Mike Thornton / Brinker International and all appointed instructors / franchise owner/operators / officials / employees / and any other related party to the before mentioned from any liabilities / actions / lawsuits / or claims made by other individuals or entities as a result of or relating to my participation in this activity.
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Assumption of Risk
 
By typing my name below I agree to the following. I know that there may be risks associated with fitness classes and willingly accept and assume those risks solely. I know and accept that it is my responsibility to ensure my own safety. I take full responsibility for my own health and safety in participating in the Boot Camp for Cans and have consulted with a physician before participating in any of the activities or exercise. No one associated with Exercise Kindness / the Transformation Boot Camp has made any claims to be a medical doctor / dietician / nutritionist / or any other kind of medical professional. I understand that the instructors are not there to prescribe a treatment or medically diagnose and treat any conditions whatsoever but their role is to instruct exercises provide motivation and to make suggestions on physical activity and eating habits. I understand that I am not obligated or required in any manner to participate in or conduct any of the activities or exercises in the Boot Camp for Cans and I choose to participate under my own free will.
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Confidentiality and Non-Compete
 
By typing my name below I agree to the following. I understand that pictures and videos may be taken during my participation in this program and grant permission to Exercise Kindness / the Transformation Boot Camp / and Fitness Now LLC to use my image and spoken words in promotional material. I also reaffirm and agree to keep confidential all aspects / exercises / and training elements of the program and will not disclose any of this proprietary information to any other person or party outside of the Transformation Boot Camp. I agree to not compete within a 50-mile radius of any existing Transformation Boot Camp / Fitness Now LLC / and Mike Thornton for a period of 3 years from the signing of this form by owning / operating / or otherwise having any interest in other than that of a customer in other boot camps or similarly functioning exercise programs.
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Class Environment
 
By typing my name below I am agreeing to keep the event PG at all times by not using language that could be offensive to others. I also agree to maintain a positive attitude during class.
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Today's Date:
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