Register

Sign up today and make the most important decision you will ever make:

Registration Form & Medical Questionnaire

I can confirm that I have completed this form myself and that
information given below is between yourself and The BEST
Boot Camp
Full Name

Address & Post Code

Male / Female

Date of Birth

Marital Status

Number of Children

Is this your first time at Boot Camp?

Have you ever participated in a Boot Camp before? If so which

one?
What is your main aim in registering with the BEST Boot Camp

I understand that no information would be given out to any

third parties without my prior consent
Have you had any injuries, recent, current or historic that may
effect you during exercise?
Please tick if you have had any of the following? Tuberculosis
Eating or Mental Disorder
Blood Coughin
Epilepsy
Coughing / Hoarseness
Sciatica
Pneumonia / Pleurisy
Asthma
Rheumatic Fever
Slipped Disc / Back trouble
Appendicitis / Diabetes
Stomach / Bowel Complaints
High or Low Pressure
Heart Condition / Angina
Infection of Kidneys
Fainting / Migraine
Hospital Investigation
X-Ray / ECG?
NONE OF ABOVE
 If you answered YES to any of the above please give details
below:

Are you currently injured? If so please provide details below:

Are you currently on any medical advice or receiving treatment

or tablets? If so please provide below:
What other exercises, fitness classes or associations, sports or
clubs are you active with?
Is there any particular part of exercise you struggle with?

Is there any part of your body that you would like to

particularly work on?
Have you had any specialist fitness or weight loss advice in the
last two years?
Have you lost any time from work through illness or injury in
the past three years? If so, for what and for how long
Do you feel in good health?

Have any of your relatives suffered from any of the complaints

listed above? If so, please state which and the relationship of the
person to you:
How much do you drink per week? (Be honest!)

Are you asthmatic? (if so you must bring your inhaler with you
at every class?
How much do you smoke per day?

Mobile Telephone Number

Home Telephone Number

e-mail address

Emergency Contact Details & relationship to you (i.e Husband,

Mother, Sister etc)
You should not sign this document unless you have read it and I accept
understood its terms and conditions.
By signing this agreement, you understand and accept all risks I accept
and agree to waive your legal rights, including the right to sue
The next statements must be agreed to for participation with I accept
The BEST Boot Camp
1. The participant acknowledges that there can be certain risks I accept
 of injury to them or third parties associated with their
participation in boot camp cl
2. The Participant knows that The BEST Boot Camp staff or I accept
contractors are not medical practitioners and that they cannot
provide advice as medical pra
3. The participant knows they should seek medical advice from I understand
a medical practitioner before participating in selected activities
4. The participant is aware that certain medical problems may I accept
arise if they undertake and participate in the selected activities
5. There may be no or inadequate facilities for treatment or I accept
transport of the participant if they are injured
6. The BEST Boot Camp will not be held responsible for I accept
personal property being damaged or lost
[Link] participant agrees to participate in the selected activities I accept
at their own risk and responsibility
8. In the selected activities there may be consequential injury to I accept
the participant, damage to property or third parties.
9. There is risk of injury whilst merely observing or being in I accept
proximity to the site where the selected activities are being
carried out
10. 7. The participant agrees that they will abide by the rules for I accept
participating in the various activities
11. The participant agrees to follow the instructions of The I accept
BEST Boot Camp
12. The participant also agrees that if they fail to follow I accept
instructions they may be barred and no refund will be given
13. I agree to not make a claim against The BEST Boot Camp I accept
for any and all damages, actions, claims, judgements, cost of
litigation and legal fees.
14. I hereby authorise the staff of The BEST Boot Camp to act I accept
for me according to their best judgement in any emergency
requiring medical attention
15. All medical expenses incurred will be the responsibility of I accept
the participant or the participant family
16. I authorise The BEST Boot Camp to use any photographs, I accept
videos, motion pictures, recordings or any other records taken
while I am participating
17. In consideration of The BEST Boot Camp permitting me to I accept
participate in selected activities, I agree to release and
indemnify The BEST Boot Camp
18. I will bring no claim, legal or otherwise against The BEST I accept
Boot Camp in respect of that injury or damage
By signing this agreement, you assume all risks and agree to
waive your legal rights including the right to sue (PLEASE
SIGN NAME BELOW)