Registration

It's Never Too Late to Be Healthy

Now is the time for change

Registration

Feel Great Naked
Lifestyle Challenge
Registration

Name (first, last):
Address:
City:
State:
Zip:
Day Phone:
Evening Phone:
Date of Birth:
Email address:
T-shirt size:
Emergency Contact (name and phone):
Do you have permission from your physician to participate in this program?:
List all prescrition medications you are taking:
I understand this program requires a one year commitment:
I understand I will make progress if I follow the recommendations of the professionals running this program:
I am ready to make a positive lifestyle change:
I rate my current fitness level at (1-10):
How did you here about us?:
I have participated in other weight loss programs (list them):
My main goal is:
Do you have diabetes?:
Do you have seizure disorder:
Do you have high blood pressure?:
Do you have heart disease?:
Do you have lung disease?:
Do you have kidney disease?:
Do you have liver disease?:
Do you have neck or back injuries or issues? Explain:
Do you have any physical conidtion which causes pain? Explain:

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

RELEASE
This release is entered into between the undersigned and Adventure Fitness Studio, its officers, subsidiaries, affiliates, and executors in addition to the City of Spokane. The purpose of Adventure Fitness Studio 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 Danna Snow 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 Adventure Fitness Studio including Adventure Fitness Studio does not guarantee neither good nor bad will occur nor guarantees the training advice given by Adventure Fitness Studio including Adventure Fitness Studio 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, 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 Adventure Fitness Studio 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 Adventure Fitness Studio including Spokane Adventure Boot Camp 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.