Personal Information   First and Last Name:  * Email Address:  * Phone number:  * Date of birth (mm/dd/yy):  *   Height: Estimated Weight:   Please Select Your Camp Time and Days   Which time are you committing to (morning or evening)?  * How many days per week are you committing to (3 or 4)?  * What days of the week are you committing to (M-T-W-TH)?  *   Goal Assessment and Health History   Please explain in 3-5 sentences your specific goals for camp? Please list any medications you are taking below: Do you have any health concern or issue that could keep you from performing certain exercises? (Select)YesNo 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 Transformation Boot Camp 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 the Transformation Boot Camp / Fitness Now LLC / Mike Thornton / Alonzo Esparza/ Titan Fitness / 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 the Transformation Boot Camp / Fitness Now LLC / Mike Thornton / Alonzo Esparza / Titan Fitness / 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.  *   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 Transformation Boot Camp and have consulted with a physician before participating in any of the activities or exercise. No one associated with 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 Transformation Boot Camp and I choose to participate under my own free will.  *   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 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 / Mike Thornton / and Alonzo Esparza 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.  *   Class Environment and Results   By typing my name below I am agreeing to keep the Transformation Boot Camp PG at all times by not using language that could be offensive to others. I also agree to maintain a positive attitude during class. I also understand that results are never guaranteed and that my best chance for success is to attend class regularly and listen to and apply the nutritional advice in this program.  *   Understanding of Service Provider   By typing my name below I agree to the following. I understand that all Transformation Boot Camps are individually owned and operated and that the north San Antonio Transformation Boot Camps are owned and operated by Alonzo Esparza. I understand that all agreements and transactions are between me and Alonzo Esparza.  *   Today's Date:  *   Do not enter anything in this field: