Pre-camp Evaluation

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What location are you joining?:

Personal Information

Self Assessment & Additional Information

Medical History

Enter N/A for any section which is Not Applicable for you.

NOTICE: It is wise to seek your doctors advice before beginning any health/fitness/nutrition program!

This release is entered into between the undersigned and Meridian Adventure Boot Camp, its officers, subsidiaries, affiliates, and executors in addition to the City of Meridian, school districts, and any other locations boot camp may be held at. The purpose of Meridian Adventure Boot Camp is to provide fitness instruction and coaching for various levels of athletes/individuals.

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

1. Acknowledges that Heath Van Patten is not a physician and is not trained in any way to provide medical diagnosis, medical treatment, or any other type of medical advice.

2. Acknowledges that coaching/training is another tool for teaching athletes/individuals about themselves, but that Meridian Adventure Boot Camp does not guarantee neither good nor bad will occur nor guarantees the training advice given by Heath Van Patten including Meridian Adventure Boot Camp will produce good nor bad results.

3. 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.

4. 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/activities including the elements of a natural environment, 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 Meridian Adventure Boot Camp, it's owners, officers, employees, or other parties for the undersigned participating in said sporting events and/or training for said sporting events.

Undersigned acknowledges that Adventure Boot Camp may change locations of camps so long as it is within reasonable distance from current locations. Adventure Boot Camp may also change trainers at their discretion. All trainers involved with ABC will be nationally certified and trained to company standards.

Customer client agrees to confidentiality with respect to Meridian Adventure Boot Camp and all services provided by same.

Submitting this registration constitutes an electronic signature and in so doing customer agrees to all terms and conditions including those items in the checklist below.