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

Saint Cloud Adventure Boot Camp Registration

Registration Instructions:
1. Complete the online form below.
2. Click the Submit button to proceed to the payment page.
3. Pay via Mastercard, Visa, American Express, Discover, PayPal, Debit Card, or Check (Click here for check payment instructions).

Name
Address
City
State
ZIP
Email Address
Phone Number
Emergency Contact Name
Emergency Contact Phone
This is my first camp:	Yes \| No
If "no," enter date of last camp attended:
I rate my current fitness level as:	(1-10, ten being high)
My Main goal is:
How did you hear about us?	Please specify publication / web site / friend/ or other source.

Select date of camp you want to attend
Select camp type (5 or 3 day)	Note: We recommend the full 5-day program for best results and overall work-out. You can do it!

Medical History (This information is held in the strictest confidence)
1. Are you allergic to any medication (aspirin, penicillin, sulfa, etc.)?		If "Yes," list medications:
2. Do you take any prescribed medication on a regular basis?		If "Yes," list medications:
3. Do you have a seizure disorder (epilepsy)?
4. Do you have diabetes type I or II?
5. Have you ever been found to be anemic (low blood count)?
6. Do you have High Blood Pressure (hypertension)?		If "Yes," list medications:
7.Do you have or have you ever had heart disease?
8. Do you have or have you ever had lung disease?
9. Do you have or have you ever had kidney disease?
10. Do you have or have you ever had liver disease?
11. Do you have asthma?
12. Do you wear glasses or contact lenses?
13. Do you have back pain?
14. Have you ever had a severe neck injury? If, "yes," describe:
15. Have you ever been knocked out? If, "yes," describe:
16. Have you had a broken bone or fracture in the past 2 years? If, "yes," describe:
17. Have you ever injured your back? If, "yes," describe:
18. Have you had knee pain in the past 2 years that has disabled you for longer than a week? If, "yes," describe:
19. Do you have other physical conditions which cause pain? If, "yes," describe:
20. Please detail any surgical procedures that might impact your ability to exercise:
21. What are your goals for the next three months?
22. Are you training for a specific event? If yes, explain:
23. Have you had your body fat tested?		If yes, what percent is it?
*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 Saint Cloud Adventure Boot Camp, its officers, subsidiaries, affiliates, and executors in addition to the City of Saint Cloud. The purpose of Saint Cloud 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 Chad Stearns 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 Saint Cloud Adventure Boot Camp does not guarantee neither good nor bad will occur nor guarantees the training advice given by Chad Stearns including Saint Cloud 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 Saint Cloud 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 Saint Cloud Adventure Boot Camp including Chad Stearns 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. Customer client agrees to confidentiality with respect to Saint Cloud Adventure Boot Camp and all services provided by same. The undersigned agrees to refrain from disclosing, directly or indirectly, any and all aspects of Saint Cloud Adventure Boot Camp. The undersigned agrees to a non-compete within a 50 mile radius of Saint Cloud for a period of 5 years from date of participation. Checkmark the following: I agree not to use foul language during Boot Camp. I agree to show up for Boot Camp every day. I will remember to set my alarm and be at camp on time. 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, but I can receive a credit (for unused portion of camp) towards a future camp if I'm not able to complete the one I originally joined. Camp fees can not be used towards any other products or services provided by Saint Cloud Adventure Boot Camp. I understand that diet and nutrition will affect my fitness goals and performance during boot camp. I will bring a positive attitude and expect to have fun! I will at least pretend to laugh at some of Chad's jokes! I agree to all Terms and Conditions listed above.
Electronic Signature (type your name as verification) Date (MM/DD/YYYY)
(Next Step: Payment Information)

To pay by check:
1. Complete the form above.
2. Press the Submit button.
3. Write check in the amount of $299 if you are signing up for the 5 day camp or $199 for the 3 day camp.
4. Make check payable to Stearns Fitness.
5. Mail the check to: Stearns FItness, 7032 Buttonbush Loop, Harmony, FL 34773.
6. Please send an email to chad@saintcloudbootcamp confirming that your check has been sent.
*Note: Spaces fill quickly for this unique experience. We cannot guarantee your space until we have received payment.)

For More Information, Contact us at (407) 484-8510 or e-mail chad@saintcloudbootcamp.com