Women's Adventure Fitness Boot Camp in Palos Verdes, bootcamp for women, adventure boot camp, womens fitness program, womens weight loss, exercise camp, womens camp, exercise, workout programs, outdoor exercise

Palos Verdes Adventure Boot Camp Fitness Events in Palos Verdes Palos Verdes Adventure Boot Camp Boot Camp Calendar About Palos Verdes Bootcamp History of Fitness Boot Camps Common Questions about Adventure Boot Camp Bootcamp Testimonials Bootcamp Photos Palos Verdes Fitness Boot Camp

Boot Camp Registration
PERSONAL  & SMALL GROUP TRAINING NOW AVAILABLE, CONTACT US FOR MORE INFORMATION!

The Body Life - Boot Camp Class
REGISTRATION

You now have 2 options:
A.  Pay by check: Fill out the online form below to register online (be sure to hit the submit button) then send payment by mail to:

The Body Life
100 W. 29th St.
San Pedro, CA 90731
info.bootcamp@yahoo.com
(310)850-3364

B. Fill out the online form below to register online and then pay via PayPal.
     
Fill out the form below and click on SUBMIT ...
      You will be taken to the payment page, where you can pay Via Paypal.

NOTE: We cannot guarantee your space will be reserved if you do not supply us with payment information on this form if sending via internet.

Registration Form
You will be notified to schedule your pre-camp evaluation (if needed for your program). Veterans (People who have taken class before), fill out top portion of registration only, if things have changed then fill out Health History!
Personal Information
Name Address
City State / ZIP /
Profession Country
Date of Birth (mm/dd/yyyy) Phone Number
Work Number Mobile Number
Email Address T-Shirt Size (Men's sizes)
Self Assessment & Additional Information
I rate my current fitness level as a (1-10), ten being high.
I was referred by:
How did you hear about us?:
Please specify publication / website / friend or other referral:
This is my first camp:
If you answered "no", when was the last camp you attended:
My Main goal is:
Name of Emergency Contact & Phone Number |
Place of work
Camp and Payment Information
Please choose these options carefully as you will be enrolled according to your choices.
What camp are you joining?
What time are you attending?
Choose your camp frequency and cost:  
Form of payment:
If you are paying via PayPal, please provide your PayPal email address, so we can match your Registration with your Payment and confirm your spot.
PayPal Email Address:
Do you have a coupon code? You must give a code to get discount... Discounts are for first time campers only.

CAMP OPTIONS:

  • 4 Week Camp: 5 days/week - $299
  • 4 Week Camp: 4 days/week - $249
  • 4 Week Camp: 3 days/week - $199


  • CAMP MEMBERSHIPS ARE FOR 3 CONSECUTIVE CAMPS: SAVE 15%!!!
  • 3 Camp Membership 5 days/week - $765
  • 3 Camp Membership 4 days/week - $635
  • 3 Camp Membership 3 days/week - $509
  • 3 and 4 day/week options are for people who have other commitments during the week. We prefer that you attend the full 5-day a week program for the best results and overall work-out! You can do it!

Medical History
(If you are a returning camper, only complete the sections that have changed.)
I am a returning Vet and my health history has not changed
1. Are you allergic to any medication (aspirin, penicillin, sulfa, etc.)?
List Medications:
2. Do you take any prescribed medication on a permanent or semi-permanent basis?
List Medications:
3. Do you have a seizure disorder (epilepsy)?
4. Do you have diabetes Adult or Juvenile?
List Medications:
5. Have you ever been found to be anemic (low blood count)?
6. Do you have High Blood Pressure (hypertension)?
List Medications:
7. Do you have or have you ever had the following diseases?  
Heart Disease:
Lung Disease:
Kidney Disease:
Liver Disease:
8. Do you have asthma?
List Medications:
9. Have you ever had a severe neck injury?
Describe:
10. Have you ever been knocked out?
Describe:
11. Do you wear glasses or contact lenses?
12. Have you had a broken bone or fracture in the past 2 years?
Describe:
13. Have you ever injured your back?
Describe:
14. Do you have back pain?
15. Have you had knee pain in the past 2 years that has disabled you for longer than a week?
Describe:
16. Do you have other physical conditions which cause pain?
Describe:
17. Detail any surgical procedures:
18. What are your goals for the next three months?
19. Have you had your body fat tested?
If yes, what percent is it?
20. Are you training for a specific event?
If yes, explain:
Release

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 The Body Life, its officers, subsidiaries, affiliates, and executors in addition to the City of Rancho Palos Verdes, the Palos Verdes Unified School District and the Los Angeles County. The purpose of The Body Life including Body Life 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 Andrea Kolesar 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 The Body Life including Body Life Adventure Boot Camp does not guarantee neither good nor bad will occur nor guarantees the training advice given by The Body Life including Body Life 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 Body Life Adventure Boot Camp 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 The Body Life including Body Life 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.

Checkmark the following:
I agree not to use foul language during Boot Camp. Any violation will result in twenty push-ups per occurrence.
I agree not eat or say the words Twinkie, Donuts, Ho-Ho's, Ding Dong, or Cup Cake during the course of Boot Camp. Any violation will result in twenty push-ups per occurrence.
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. Any violation 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. If I am unable to attend camp due to circumstances out of my control, Body Life Adventure Boot Camp may offer a refund if I notify them prior to my session start date. However, I will be charged a $50.00 cancellation fee.  If I notify them after my session begins and I am unable to complete the one I originally joined, I may receive a credit (for unused portion of camp) towards a future camp but I must then sign up for a minimum of 3 days/week the following session to make up the missed days (i.e. pay for 3 days/week and attend 4-5 days/week until classes are made up) or I will loose them unless other agreements are made. I may also make-up missed days during the current session if I am registered for anything less than 5 days/week!.
[Credit will only be given for circumstances out of your control and only if you notify your instructor. (i.e. NO CREDIT FOR SLEEPING IN, BEING TOO TIRED, because you think IT'S TOO COLD, or because it's RAINING... wear layers and Andrea will keep you dry, at least from the weather!) This credit is nontransferable.  There is no cash refund. This is not negotiable. Camp fees can not be used towards any other products or services provided by Body Life Adventure Boot Camp.] Payment in full is due on or before the first day of class!
I will remember to set my alarm and be at camp on time.
I understand that diet and nutrition will effect my fitness goals and performance during boot camp.
I will challenge myself and put honest effort in to the class, I will bring a positive attitude everyday and expect to have fun!
Agreement and Signature
Your signature will be required at the time of your evaluation and you agree to the terms now!
I agree to all Terms and Conditions listed above
Electronic Signature
Date (MM/DD/YYYY)



WE RESERVE THE RIGHT TO CANCLE ANY CLASS IF WE FEEL THERE'S NOT A SUFFICIENT NUMBER OF PEOPLE.  (MINIMUM OF 5 PEOPLE, MAXIMUM OF 26)
AT HOME PERSONAL TRAINING NOW AVAILABLE, CONTACT ANDREA FOR MORE INFORMATION!
We reserve the right to refuse service to anyone.

 

For More Information, Contact us at 310.850.3364 or e-mail info.bootcamp@yahoo.com
Home | Program | Registration | Calendar | About Us | Our History | FAQ's | Testimonials | Photos | Contact Us
© Copyright 2007 Body Life Adventure Boot Camp. All Rights Reserved. | Web Design: www.koenigcreative.com