Induction Registration Form – Fit Camp UK Shop

Introduction Registration for Fit Camp UK

Please complete all questions accurately. Please email davehughes@fitcampuk.co.uk if you have any further questions.

Title*

First name*

Last name*

Email address*

Primary phone number*

Alternative phone number

Male/Female*

Date of birth*

Emergency contact number*

Address line 1

Address line 2

Address line 3

County

City / Town

Postcode

Terms & Conditions

10 session offer is 10 sessions to be completed in 5 weeks from start date of 1st session you turn up to!! You must use them in this time or you will lose them!!! This is for 1 x location only & not a multi camp option £30 Unlimited offer is as many sessions as you can fit in use various locations or mornings & evenings - You can train 2-6 sessions per week for this offer if you multi camp There is also a 30 Day Detox Booklet thrown in with this offer valued at £30 thrown in for free - this is on the £30 offer only - not the 10 session offer!!! All sessions must be completed within the 4 weeks You must use them or lose them as no refunds can be given You cannot purchase an offer and then go onto another offer - 1 offer for 1 person only - you cannot share these with anybody else

What are you expecting to achieve for your session?

What is your main reason / motivation for purchasing this offer?

Why is this important to you ?

If we could make you feel better about yourself? - How could we do that ?

Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?*

Do you feel pain in your chest when you do physical activity?*

In the past month, have you had chest pain when you were not doing physical activity?*

Do you lose your balance because of dizziness or do you ever lose consciousness?*

Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition?*

Do you have a bone or joint problem (for example, back, knee, or hip) that could be made worse by a change in your physical activity?*

Do you know of any other reason why you should not do physical activity?*

Have you ever been told you have High Blood Pressure?*

If you answered YES to one or more questions: Talk with your doctor by phone or in person BEFORE you start becoming much more physically active or BEFORE you have a fitness appraisal. Tell your doctor about the PAR-Q and which questions you answered YES. You may be able to do any activity you want—as long as you start slowly and build up gradually. Or, you may need to restrict your activities to those that are safe for you. Talk with your doctor about the kinds of activities you wish to participate in and follow his/her advice. Find out which community programs are safe and helpful for you.

If you answered NO honestly to all PAR-Q questions, you can be reasonably sure that you can: Start becoming much more physically active—begin slowly and build up gradually. This is the safest and easiest way to go. Take part in a fitness appraisal—this is an excellent way to determine your basic fitness so that you can plan the best way for you to live actively. It is also highly recommended that you have your blood pressure evaluated. If your reading is over 144/94, talk with your doctor before you start becoming much more physically active. Delay becoming much more active: If you are not feeling well because of a temporary illness such as a cold or a fever—wait until you feel better; or If you are or may be pregnant—talk to your doctor before you start becoming more active. Please note: If your health changes so that you then answer YES to any of the above questions, tell your fitness or health professional. Ask whether you should change your physical activity plan.

Waiver

THIS WAIVER MUST BE READ IN FULL AND SIGNED TO SAY YOU HAVE UNDERSTOOD THE TERMS & CONDITIONS

This is an important legal document. It explains the risks you are assuming by beginning an exercise program. It is critical that you understand it completely. After you have done so, please print your name legibly and sign in the space in the space provided at the bottom. Waiver and Covenant Not to Sue I, have volunteered to participate in a program of physical exercise under the direction of Fit Camp UK, which will include, but may not be limited to, weight and/or resistance training. In consideration of Fit Camp Instructor’s agreement to instruct, assist, and train me, I do here and forever release and discharge and hereby hold harmless Fit Camp UK from any and all claims, demands, damages, rights of action or causes of action, present or future, arising out of or connected with my participation in this or any exercise program including any injuries resulting there from. Assumption of Risk I, recognise that exercise might be difficult and strenuous and that there could be dangers inherent in exercise for some individuals. I acknowledge that the possibility of certain unusual physical changes during exercise does exist. These changes include abnormal blood pressure, fainting, disorders in heartbeat. I recognise that all participants prior to involvement in any exercise program should obtain an examination by a doctor. If I, have chosen not to obtain a doctors permission prior to beginning this exercise program with a Fit Camp Instructor, I hereby agree that I am doing so at my own risk. In any event, I acknowledge and agree that I assume the risks associated with any and all activities and/or exercises in which I participate. I acknowledge and agree that no warranties or representations have been made to me regarding the results I will achieve from this program. I understand from this program. I understand that results are individual and may vary. I agree to the aboveIf unsure about your blood pressure please get it checked before your 1st session at Fit Camp UK

Print Full Name*

Please choose a location, day and time for your 1st Fit Camp UK session. If you are unsure of the locations/days/times available please visit www.fitcampuk.co.uk and choose your location from the menu.

Choose your Fit Camp UK location*

Choose a date for your 1st session*

Choose a time for your 1st session*

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