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Event Registration

Register here for the currently running Training Workshops, Boot Camps and Seminars. Once we have received this Health History/Registration form and payment, your spot will be reserved. This form must be submitted PRIOR to participation.

Please fill out the following form. Demo Fitness Studio will contact you soon.

Available Events
	Women's Only Boot Camp — $199 for 1 Month (Recurring) 5-days/week 4-day option 5:30 - 6:30am	Select Event!
	Trip to the Grocery Store — $199 for 1 Month (Recurring) With a small group, joing us and learn how to get through a grocery store by reading labels, making good decisions amongst food options, and getting out with healthy choices for healty meals. This seminar provides a realistic way to improve your nutrition and diet for you and your family.	Select Event!

Personal Information

First:

M.I.:

Last:

Country:

Street:

City:

State:

Zip:

Home #:

Work #:

Cell #:

Email:

Gender:

Birthday:

Basic Info:

I will be entering my measurements in lbs/inches kgs/cms

Height		(feet)		(inches)
Weight			( pounds)

Fitness Profile

What is your top Fitness & Health Goal?

What is your current fitness level? (1 is lowest and 10 is highest)

Are you currently recovering from any injuries or have any special medical conditions, under a doctor's care, or are taking any medication (allergen or other)?
	No		Yes

If you answered Yes above, please provide as much relevant detail as possible:

Additional Fitness, Nutrition & Health Goals:

When is the best time to contact you?

Emergency Contact Information

Contact:

Relation:

Phone:

Registration Details

TERMS & CONDITIONS
WAIVER OF LIABILITY

As a participant in this program, you represent that you have no congenital physical or mental health problems that will preclude participation in the services provided by Demo Fitness Studio.  Specifically you 
represent that you have no underlying cardiovascular, neurological, orthopedic or any other illness that will preclude participation in any training program.  You assume risk with any/all of the fitness programs specified 
under this agreement provided by Demo Fitness Studio.

You also acknowledge that boot camps, cardiovascular, kick boxing, running, resistance training, timed events, obstacle course,and any other related sports activities 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.  You also understand the risks of participating in these types of events/activities, you are healthy enough to participate, and you have 
a regular medical physician that you can contact regarding any medical problems that you might develop.  You expressly waive, release, discharge and agree not to sue (from any liability of death, disability, personal injury, 
or action of any kind) Demo Fitness Studio, Demo Fitness Studio's assistants/instructors or any other guest acting on behalf of Demo Fitness Studio.

It is strongly recommend that you consult with your physician before beginning any exercise program. If you are under 18, pregnant, nursing or have health problems, consult your doctor about specific medical conditions. 
If you have not been for a physical in the last 12 months, it is strongly advised that you do so prior to participating in any physical activity.

MISSED DAYS/ABSENCES
You may NOT transfer your missed days to anyone else.  You may not pro-rate any monthly fees because of missed days.  Payments are due in full no matter how many days you miss or are unable to attend.

LATE CHARGES/FEES FOR RETURNED OR INSUFFICIENT FUNDS
If Demo Fitness Studio receives a payment more than 5 days after the due date, you will be charged $25.00.  If any payment under this agreement is returned, you will be charged $10.00 returned item fee for checks and 
$25.00 for any credit card payments that are not honored.

TRANSFERS/CHANGES
Once enlisted in a course/activity, you must complete the entire agreement/course before switching to a different course length.  You may NOT transfer your registration of any length to another person.

REFUNDS/CANCELLATION
There are NO REFUNDS.  If you have to cancel this agreement, for any reason (sick, injury, family emergency, work changes, etc.) and are only signed up for one course (month) - you still owe any remaining balance by the last day 
of the course. If you pay by check or cash, you will still be responsible to either mail, or hand-deliver any remaining balance to Demo Fitness Studio.  If you pay by credit card or paypal account, you will automatically 
be billed.  If you are signed up for multiple courses (months) and you have to terminate this contract completely, you will be back billed the difference between the discounted rate and the amount of the courses you actually 
completed.  If you have paid a deposit and are not able to start on the date requested, you may apply that deposit to another course and have up to two courses to use said deposit.  If you are unable to attend within that new time 
frame, you forfeit your deposit. If you choose to make a donation of any amount, you agree that it is to be used by Demo Fitness Studio in whatever way Demo Fitness Studio deems fit for the betterment of the program.

I have read, understand, and agree to comply with the Terms & Conditions.

Referred By:

Promotional Code:

What method of payment for this activity do you prefer? (Cash or checks must be received prior to participation)
Credit Card/Paypal		Cash/Check or No Payment Requested
Once you have completed to above registration process, click on the Start Training Now button below to be sent to the confirmation page.

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