Personal Information   First Name:  * Last Name:  * Email Address:  * Cell Phone Number:  * Date of Birth:  *   Height:  * Estimated Weight:  *   Pick Your Schedule *(classes with an asterik are test classes- enrollment will determine continuance as a summer class) UTHSC UTHSC Class#M1- 5:00am UTHSC Class#M2- 5:30am UTHSC Class#M3- 6:00am UTHSC Class#E1- 5:30pm(april) UTHSC Class#E2- 6:00pm(april) WALKER'S RANCH WR Class#M1- 830am WR Class#M2- 900am WR Class#M3- 930pm WR Class#M4- 1000am WR Class#E1- 530pm WR Class#E2- 600pm WR Class#E3- 630pm(april) STONE OAK SO Class#M1- 5:00am SO Class#M2- 5:30am NANI FALCONE PARK NF Class#E1- 6:45pm OLMOS BASIN OB Class#M1- 5:30am TThF OB Class#E1- 3:00pm   How many days per week are you choosing (3/4/ 5 or N/A)?  * What days of the week are you committing to (M/T/W/TH/F/all or N/A)?  *   Please Agree to Our Awarded Discount Policy   Our awarded discount must be earned! By typing my name below I agree to the following. The awarded discount of 50 percent off regular enrollment is only given to those who 1) Get measured on the first/last day of camp and. 2)fulfill 80 percent commitment to showing up and being on time If you are unable to get measured on the 1st/last day of class please email to make other arrangements in a timely manner. The awarded discount is only good for the camp immediately following the camp it was earned in.  *   Goal Assessment and Health History   Briefly explain your three boot camp goals in 3-5 sentences. Goal 1  * Goal 2  * Goal 3  * List any medications that you are taking?  * Do you have any health issue or condition that could keep you from being able to perform certain exercises?  * If you anwered "yes" above please explain.   Please Agree to Our Waiver of Liability and Indemnity   By typing my name below I agree to the following. In consideration for being allowed to participate in the Beck and Call-San Antonio Transformation Fitness Boot Camp which I do freely and voluntarily for my own personal benefit I hereby agree on behalf of myself / my executors / heirs / next of kin / successors / and assigns to the following: waive and release from any and all liability Beck and Call/ San Antonio Transformation Fitness Boot Camp / Norma-Jean Osuna / and all appointed instructors / franchise owner/operators / officials / employees / affiliates / and any other related party to the before mentioned including but not limited to my disability / personal injury / property damage / property theft / death / or actions or inactions of any kind which may hereafter accrue to me and to indemnify and hold harmless Beck and Call/ San Antonio Transformation Fitness Boot Camp / Norma-Jean Osuna / and all appointed instructors / franchise owner/operators / officials / employees / and any other related party to the before mentioned from any liabilities / actions / lawsuits / or claims made by other individuals or entities as a result of or relating to my participation in this activity.  *   Automatic Billing Policy By typing my name below I agree and understand I must notify to discontinue automatic billing by or on the 10th day of the month.   Assumption of Risk   By typing my name below I agree to the following. I know that there may be risks associated with fitness classes and willingly accept and assume those risks solely. I know and accept that it is my responsibility to ensure my own safety. I take full responsibility for my own health and safety in participating in the Beck and Call-San Antonio Transformation Fitness Boot Camp and have consulted with a physician before participating in any of the activities or exercise. No one associated with the Beck and Call-San Antonio Transformation Fitness Boot Camp has made any claims to be a medical doctor / dietician / nutritionist / or any other kind of medical professional. I understand that the instructors are not there to prescribe a treatment or medically diagnose and treat any conditions whatsoever but their role is to instruct exercises provide motivation and to make suggestions on physical activity and eating habits. I understand that I am not obligated or required in any manner to participate in or conduct any of the activities or exercises in Beck and Call-San Antonio Transformation Fitness Boot Camp and I choose to participate under my own free will.  *   Confidentiality and Non-Compete   By typing my name below I agree to the following. I understand that pictures and videos may be taken during my participation in this program and grant permission to Beck and Call-San Antonio Transformation Fitness Boot Camp to use my image and spoken words in promotional material. I also reaffirm and agree to keep confidential all aspects / exercises / and training elements of the program and will not disclose any of this proprietary information to any other person or party outside of the Beck and Call-San Antonio Transformation Fitness Boot Camp. I agree to not compete within a 50-mile radius of any existing Beck and Call-San Antonio Transformation Fitness Boot Camp / Norma-Jean Osuna / and Beck and Call for a period of 3 years from the signing of this form by owning / operating / or otherwise having any interest in other than that of a customer in other boot camps or similarly functioning exercise programs.  *   Class Environment and Results   By typing my name below I am agreeing to keep the SA Transformation Fitness Boot Camp PG at all times by not using language that could be offensive to others. I also agree to maintain a positive attitude during class. I also understand that results are never guaranteed and that my best chance for success is to attend class regularly and listen to and apply the nutritional advice in this program.  *   Referred by: Thank we look forward to your Success Security code:   * Do not enter anything in this field:

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