Women's Adventure Fitness Boot Camp in Tri Valley, bootcamp for women, adventure boot camp, womens fitness program, womens weight loss, exercise camp, womens camp, exercise, workout programs, outdoor exercise

Boot Camp Registration

Tri Valley Adventure Boot Camp Class
REGISTRATION

Tri Valley Adventure Boot Camp Registration

Thank you for registering for the Tri Valley Adventure Boot Camp. Please enter your information and answer ALL the questions and submit the form below to complete the registration process. Once you fill out this registration form and hit the SUBMIT button at the bottom of the page you will be prompted to make your payment through Pay Pal or to send in your check.

You now have 3 options:
A. Fill out the form and hit the submit button at the bottom of the page. You will be redirected to our online secure payment page to use Paypal over the internet. NOTE: You don't need a Paypal Account to use this service. (At the Shipping Information page select “Shipping is not required” then proceed with checkout) After "Checking Out" is complete with Paypal, please fill out and submit the online form below!

B. Print and fill out the form then send with a check or money order made out to Natural Force Fitness, Inc to the address listed below.

C. Fill out form hit the submit button at the bottom of the page and fax credit card authorization form to the number below for payment.

NOTE: We cannot guarantee your space will be reserved if you do not supply us with payment information on this form if sending via internet.

If paying by check, please make check out to:
Natural Force Fitness, Inc
P.O. Box 5351
Pleasanton , CA 94566
info@TriValleyBootcamp.com
Phone (925)-518-3434
Fax 1 (866) 774-7341

PART 1: PERSONAL INFORMATION ALL INFORMATION IS KEPT CONFIDENTIAL!
Full Name (First & Last)	Residence Address:
City	ZIP / State
Home Phone	Cell Phone
Job Title / Position	Work Phone
Email Address	Date of Birth	(mm/dd/yyyy)
Emergency Contact	Emergency Contact Phone
I rate my current fitness level at (1-10), ten being high.	How did you hear about bootcamp? Add a box for them to fill in here If by Referral or Other, please list below:
Physician Name:	Physician Phone:
Physical Therapist Name:	Physical Therapist Phone:
PART 2: PROGRAM OPTIONS
I am selecting the following camp and time:	Confirm Selection:

Camp Frequency:

Payment Options (must select one)
I will pay online using PAYPAL.
I will mail a check or money order. (made out to Natural Force Fitness)
I will fax a Credit Card Authorization form.
I have a gift certificate to apply & will call in to activate it.
This is my first camp:
If you answered "no", when was the last camp you attended:

PART 3: MEDICAL & EXERCISE HISTORY

If you are a returning camper and have no medical changes, this section below does not need to be completed. All agreements remain the same. Please proceed to Part 4 of the registration form.

NOTE: All “YES” answers require a written explanation in the box below.
Otherwise your registration is incomplete.

Yes

Are you allergic to any medication (aspirin, penicillin, sulfa, etc.)?

Do you take any prescribed medication on a permanent or semi-permanent basis?

Do you have a seizure disorder (epilepsy)?

Do you have diabetes Adult or Juvenile?

Have you ever been found to be anemic (low blood count)?

Do you have High Blood Pressure (hypertension)?

Do you have or have you ever had the following diseases?

Heart Disease:

Lung Disease:

Kidney Disease:

Liver Disease:

Do you have asthma?

Have you ever had a severe neck injury?

10.

Have you ever been knocked out?

11.

Have you had a broken bone or fracture in the past 2 years?

12.

Have you ever had a stress fracture or shin splints before?

13.

Have you ever injured your back?

Never	Seldom	Occasionally	Frequently with vigorous exercise or heavy lifting

15.

Have you had knee pain in the past 2 years that has disabled you for longer than a week?

16.

Do you have other physical conditions which cause pain?

17.

Have you had any surgical procedures?

18.

Do you smoke? If so, describe how much, how often and what you smoke.

19.

Have you ever smoked? If so, describe how long ago you quit, what you smoked and for how long.

20.

Are you currently on a "diet", enrolled in a weight loss program, or
following a "weight management" meal plan of any type while you are in boot camp? Please explain in detail in the explanations box below.

21.

What are your goals for the next three months?

22.

Have you had your body fat tested?

23.

Are you training for a specific event?

24.

Do you have ANY physical limitations that restrict your ability to exercise or to execute normal, functional movements? Or has a medical professional ever directed you to limit your exercise, or that you not participate in an exercise program which is not directly administered by a medical professional?

PLEASE EXPLAIN ALL “YES” ANSWERS IN DETAIL BELOW. PLEASE REFERENCE THE QUESTION NUMBER.

PLEASE DESCRIBE ANY PRIOR EXERCISE/SPORTS HISTORY & EXPERIENCES or EDUCATION [GOOD & BAD]

If you are unsure about the definition of any terms in this form, or of your ability to participate in this program, please call us first to clarify. Do not assume and DO NOT REGISTER; regardless of cause any cancelled registrations will incur a $55.00 cancellation fee.

PART 4: Re-Enlisting Online Registration Form
Thank you for registering for another Tri Valley Adventure Boot Camp. We appreciate your return business!! Please make sure to share your goals and concerns with us so we can continue to coach you most effectively in your fitness progression. Also, please make sure to fill out a Camp Evaluation form so we can continue to evolve the program while meeting your needs and interests!!
In order to use this form, each statement below must be true. Please initial to affirm your agreement.
I have attended a Tri Valley Adventure Boot Camp within the past six (6) months.
I affirm that my personal contact information is unchanged from my original registration.
I affirm that my emergency contact, medical history, and medical status are unchanged.
Should any of these statements be untrue, then you will need to fill out a complete new registration form; otherwise, your original agreements on file, are still binding.
I honestly self rate my Boot Camp fitness progression level as: (required)
LEVEL 1 - I am stronger but I am still developing exercise form, core strength, and endurance; or I have contraindications that limit me. I feel I am still at "new camper" levels and not quite ready for "repeat camper" repetitions.... maybe next camp! ;-)
LEVEL 2 - I have learned and keep sound form mechanics, my core is strong enough that I can hold plank (without modifications) for at least 60 seconds and I am ready to increase the challenge and my intensity through increased reps and intermediate position modifications.
LEVEL 3 - I am solid in all form protocols, I have no contraindications and I feel I am ready for the maximum Boot Camp challenge by using advanced positions and moves. Bring it on! Hoo-Rah!
Fitness Goals
My main fitness goal is:
My fitness goal this camp is:
My goals for the next three months:

PART 5: PARTICIPATION AGREEMENT, INFORMED CONSENT WAIVER, and LIABILITY RELEASE & NONCOMPETE AGREEMENT

This agreement is entered into willingly by me, an individual, and the entities or persons listed below in section (A) on account of my desire to participate in a voluntary fitness program. I affirm my understanding that this fitness program is an extreme test of a person's physical and mental limits and carries with it the potential for serious injury, death, and property loss. The risks include, but are not limited to, those caused by terrain, facilities, temperature, weather, personal health condition, lack of hydration, inadequate nourishment, equipment, vehicular traffic, and actions of other people including, but not limited to, participants, spectators, or trainers. I hereby assume all risks of participating in this activity. I realize that liability may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained or controlled by them or because of their possible liability without fault. In consideration of my application and permitting me to participate in the Tri Valley Adventure Boot Camp program, I hereby take action for myself, my executors, administrators, next of kin, successors, and assigns as follows:

Waive, Release, and Discharge from any and all liability for my death, disability, personal injury, property damage, property theft or actions of any kind which may hereafter accrue to me including my traveling to and from Boot Camp training, THE FOLLOWING ENTITIES OR PERSONS:
Natural Force Fitness, Inc., Tri Valley Adventure Boot Camp, the City of Dublin, the City of Pleasanton, the City of Livermore, the City of the County of Alameda, Dublin Parks Department, Pleasanton Parks Department, Livermore Parks Department, the State of California Parks Department, and their instructors, officers, affiliates, employees, agents, board members, and executors

Indemnify and Hold Harmless the entities or persons mentioned in the above paragraph from any and all liabilities or claims made as a result of participation in this event, whether caused by the negligence of releases or otherwise.
I understand the purpose of the Adventure Boot Camp Program offered by Natural Force Fitness, Inc. is to provide fitness instruction and coaching for various levels of athletes/individuals.

The undersigned hereby acknowledges that the following was explained to me and/or agree to the following:

Acknowledges that the instructor and assistant coaches are not physicians and are not trained in any way to provide medical diagnosis or any other type of medical advice.
Acknowledges that coaching/training provided by Natural Force Fitness, Inc is designed to help increase health and fitness and Adventure Boot Camp is another tool for teaching athletes/individuals about themselves, and Natural Force Fitness, Inc does not guarantee any specific fitness or health results by my participation.
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 their training, or otherwise, that they should stop the training session and should contact a physician at once.
Acknowledges that they are fit, do not have a physical injury or condition that would preclude participation in regular vigorous exercise and have not been advised otherwise by a qualified medical person, and they have a regular medical physician they can contact regarding any medical problems that they might develop.
Acknowledges I am asking to participate in this progressive fitness program strictly for personal reasons to improve my fitness conditioning and acknowledge that as a result I will be exposed to the proprietary training techniques of Adventure Boot Camp which are intended for same; consequently, I acknowledge and agree that I am notauthorized to record the programming or daily plans of Adventure Boot Camp, and I willing surrender and promise that, for a period of no less than 24 months afterward, I will not directly or indirectly participate in a business that is similar in nature and in the same geographic area (within a radius of 50 miles) of any Adventure Boot Camp. This includes participating in my own business or as a co-owner, director, officer, consultant, independent contractor, employee or agent of another business.
Acknowledges that this Accident Waiver and Release of Liability form will be used by Adventure Boot Camp, in which the undersigned chooses to participate, and that it will govern my actions and responsibilities at during my activities with the Boot Camp.
I hereby consent to receive medical treatment, which may be deemed advisable in the event of injury, accident and/or illness during my Boot Camp training.

By signing this document, I acknowledge that I have voluntarily chosen to participate in a program of progressive physical exercise. I also acknowledge that I have been informed of the need to obtain a physician's examination and approval prior to beginning this exercise program. In signing this document, I acknowledge being informed of the strenuous nature of the program and the potential for unusual, but possible, physiological results including but not limited to abnormal blood pressure, fainting, heart attack or even death. I also understand that I may stop any training session at anytime. By signing this document, I assume all risk for my health and well being and any resultant injury or mishap that may affect my well being or health in any way and hold harmless of any responsibility, the instructor, facility or persons involved with the program and testing procedures.

The Undersigned agrees that this is the full agreement between the parties, that no representatives of Tri Valley Adventure Boot Camp or Natural Force Fitness, Inc., 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.

Please check if you accept these terms. You will be asked to sign acknowledgement at your evaluation.

PART 6: PERFORMANCE PLEDGE

In the spirit of harnessing your best effort and optimizing your results from Adventure BootCamp (as stated in the "What you can Expect" statistics), we have established the following personal performance pledges. This agreement is by and between you and yourself. Your greatest results will be achieved by following these edicts. Your choice to break any performance promises is breaking a promise to yourself, moves you away from your stated goals, and WILL result in other than best results. In excessive cases, it will cause other than favorable results such as fat mass gain, body composition increase, or lean mass loss. If you have genuine concern about being able to follow any of these promises, please contact us so we can discuss your program and work together to optimize your efforts and move you toward your performance goals!!

You will need to check your understanding to each pledge promise and demonstrate your agreement by signing at the bottom in order to join us in Boot Camp.

Click each of the following:
I agree that I will abstain from [not consume] alcohol during my Boot Camp period.

I agree to abstain from the use of foul language during Boot Camp.

I agree to abstain from eating or speaking the words Twinkie, Donuts, Cookies, potato chips, Brownie, Ho-Ho's, Ding Dong, or Cake during the course of Boot Camp.

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.

I will arrive at camp ON TIME. [I will set 4 or more alarms as necessary to ensure.(Any violation of the above statements 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 and I provide my release for same. I understand that my "before & after" photos will not be used for any promotional purposes unless I give written authorization.

I understand there is no refund policy, but I can receive a credit for my unused portion of camp towards a future camp if, for reasons beyond my control, I am not able to complete the one I originally joined. I understand that absences cannot be recouped or made up. Camp credits may not be used towards any other products or services provided by Natural Force Fitness, Inc or Tri Valley Boot Camp.

I understand that I may only attend the class I am registered in.

I will follow proper dietary practices as explained by the TVABC instructors.

I have read and fully accept the Tri Valley Adventure Boot Camp Program Policies and Guidelines.

Pre-Camp Evaluation
Once your registration is accepted and completed, you will need to sign up for a pre-camp evaluation. Someone will contact you to schedule your pre camp evaluation. If you are not contacted within 24 hours of making payment please contact right away at 925-518-3434 or email to info@trivalleybootcamp.com

Your signature will be required at the time of your evaluation and you agree to the terms now by clicking the SUBMIT REGISTRATION BUTTON below!
By submitting this form, you are agreeing to all the above!

We are now accepting pre-registration for the next camp.
Space is limited! So sign up now!!

After submitting your registration you will be redirected for ONLINE PAYMENT.
NOTE: Your registration will be confirmed only after receipt of payment. Space is limited, so to secure your place in camp please submit your payment immediately.

For More Information, Contact us at (925) 518-3434 or e-mail info@TriValleyBootcamp.com