BOOT CAMP REGISTRATION FORM AND RELEASE

Thank you for registering for the Tarrant County Boot Camp. Please complete and submit the form below. Once we have received your completed registration form and payment, we will send you a confirmation by email with additional information. (Remember: You may also purchase Tarrant County Boot Camp Gift Certificates for your friends and family.)

Tarrant County Boot Camp Re-Enlistment Form

In order to use this form, each statement below must be true. Please initial to affirm your agreement.
I have attended a Tarrant County 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 a new registration form; otherwise, your original agreements on file, are still binding.

Name:

Fitness Level (use scale of 1-10, 10 being highest = elite athlete)

Date of Birth:

Confirm Email

Camp Information

Boot Camp Start Date:

Number of days per week:

5 days per week (for 5 weeks) $374

3 days per week (for 5 weeks) * $249

5 days per week (for 4 weeks) $299

3 days per week (for 4 weeks) * $199

Express Camp 5 days per week (for 3 weeks) $225

Express Camp 3 days per week (for 3 weeks)$150

Express Camp 5 days per week (for 2 weeks) $149

Express Camp 3 days per week (for 2 weeks)$99

*We prefer that you attend M,W,F of each week. Exceptions can be made if you let us know ahead of time. Most women decide to add days after enrolling in the 3-day program.

Payment Options (check one)

	I will pay online using my credit card
	Check or money order (made out to Tarrant County Boot Camp)

Informed Consent Waiver, Release and Hold Harmless Agreement

This waiver and release is entered into between the undersigned and Tarrant County Boot Camp, its instructors, officers, affiliates, and executors, in addition to the City of Arlington and the County of Tarrant.

The purpose of the Boot Camp Program 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 is not a physician and is not trained in any way to provide medical diagnosis or any other type of medical advice.
Acknowledges that coaching/training is another tool for teaching athletes/individuals about themselves, but Tarrant County Boot Camp does not guarantee neither good nor bad will occur, nor guarantees the training advice given by Tarrant County Boot Camp or its instructors will produce good nor bad results.
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 your training, or otherwise, that the undersigned should contact a physician at once.
Acknowledges that boot camps, aerobic classes, martial arts, kick boxing, running, kung-fu, weight training, obstacle courses, and any other related sports are an extreme test of one's mental and physical limits and carry with it potential for damage or loss of property, serious injury and death. That the undersigned assumes the risks of participating in these types of events and activities, that they are fit, and they have a regular medical physician they can contact regarding any medical problems that they might develop.

The undersigned expressly waive, release, discharge and agree not to sue from any liability of death, disability, personal injury, or action of any kind Tarrant County Boot Camp, its instructors, officers, affiliates, and executors for the undersigned participating in said sporting events and/or training for said sporting events.

The Undersigned agrees that this is the full agreement between the parties, that no representatives of Tarrant County Boot Camp, nor anyone else has 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.

Click each of the following:

I agree that I will not consume alcohol during the month of Boot Camp.

I agree not to use foul language during Boot Camp.

I agree not eat or say the words Twinkie, Donuts, Ho-Ho's, Ding Dong, or Cup 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.

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. 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 unused portion of camp) towards a future camp if I'm not able to complete the one I originally joined. Camp fees cannot be used towards any other products or services provided by Tarrant County Boot Camp.

Your signature will be required at the time of your evaluation and you agree to the terms now!

By submitting this form, you are agreeing to all the above!

NOTE: Please read the payment instructions below, before submitting your application.
You will receive a confirmation by email, once your application has been successfully submitted.

PAYMENT INSTRUCTIONS:

If you are paying by credit card, you will automatically be redirected to the Online Payment page to complete your registration.

If you are paying by check, please, only submit your application. DO NOT complete the Online Payment Form. Hit the <Back> button on your browser to return to this page, and complete the mailing instructions below.

Please make checks payable to Tarrant County Boot Camp, and mail it to:

Tarrant County Boot Camp
1702 Wild Rose Way
Southlake, Texas 76092

NOTE: Your registration will be confirmed only after receipt of payment. Space is limited, so please submit your payment immediately.