Welcome to Hudson Valley Boot Camp !
Goshen , Warwick and Newburgh boot camps

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Registration:
Goshen, Warwick and Newburgh Boot Camps

Please click here to send any questions to me

Filling out the registration form will not guarantee your place in HVboot camps until you have paid in full through PayPal or other arrangements.

Once registration and payment is completed you will receive an email letting you know where to meet, what to bring, and other camp essentials.

Personal Information
*Name (First and Last):
*Date of Birth:
*Email Address:
*Cell Number:
Address:
City:
*Zip Code:	(5 digits)
Employer:
Job Title:
*How did you hear about my camps?
*Are you joining with someone? If so, who?
Please indicate class preference in field to the right Goshen boot camps Tues and Thurs 8:30 am 9:30 am 7-8 pm Mon & Wed 5:30-6:30pm SATURDAY 9:00-10:00 am Yoga/Boot Camp Fusion Newburgh boot camps T&TH 5:45-6:45pm Warwick boot camps M&W 7-8pm
Measurements
*Did you want to add in the Nutrition Tool the "3 Phase Diet Deck" to your program for $19.95 one time fee? This tool WILL help you get to your fitness goals 100% faster then NOT having it, is that worth $19.95 to you? :
*Height:
*Weight:
*Waist Size:
Body Fat %:
Goals
*Date you wish to start:	(day/month)
*What are your goals?
*Goal Weight:
Goal Body Fat %:
Are you serious about reaching your goals?
Health Information
*Do you have any medical concerns I should know about?
*Have you broken any bones in the last 6 months?:
*Do you currently take any prescribed medications?
*Do you smoke?
*Do you drink excessively?
*Are you allergic to grass?
Are you pregnant or have you been pregnant in the last 6 months?
Do you own a gym membership? If so, what gym?
*On a scale of 1-10, rate your exercise knowledge. (10 being the most knowledgeable.)
*Can you walk/run a mile without stopping?
Emergency Contact
*Name and Relationship:
*Contact Number:
Waivers
Waiver of Liability: By sending this form, you certify that you are physically able to use all facilities and do hereby agree that Bootcamp Hudson Valley is not responsible or liable for any injury, accident or loss of personal property. You hereby release this program and its employees from any claim or cause of action which may have occurred as a result of any medical problem known or unknown which you may have knowledge presently or in the future. You verify no promise or guarantees, other than those written in this agreement, was made to you by this program or its employees. You agree to follow Bootcamp Hudson Valley's camp guidelines and to cooperatively utilize the program with other participants. You understand that you are working out at your own risk.	I CERTIFY THAT I HAVE READ THIS AGREEMENT AND AGREE TO THE TERMS HEREIN
Photos and Video: I sometimes take pictures during camp to put on the websites. By checking the box, you understand that photos and video may be taken during the course of your involvement during activities in Bootcamp Hudson Valley, which may be used for promo purposes and you give your expressed written consent for such use.	I understand Photo Policy (I will remove any picture from the website you feel is inappropriate.)
Diet and Nutrition: You must understand that diet and nutrition will greatly effect any fitness goals you may have and will greatly affect performance during camp. Please make every effort to make wise nutrition choices.	Please Check if you understand that without solid nutrition it is almost impossible to lose weight.
Attendance Policy: You agree to show up for every camp session ON TIME unless it is an excused absence from your doctor or approved by the coach. (Please call or email if you are going to miss.) Also, THERE ARE NO MAKE UPS or PRO-RATED FEE FOR MISSED CLASSES. BOOT CAMP HUDSON VALLEY IS NOT TRANSFERABLE OR REFUNDABLE . There must be a minimum of 10 participants to hold a Bootcamp. Please contact me if you HAVE ANY QUESTIONS	Check Box if you understand the Attendance Policy
Comments or Questions:

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