Waiver & Sign-Up Form
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1. YUN STRENGTH AND FITNESS SYSTEMS LLC SIGN UP & WAIVER FORM

Thank you for registering for training via Yun Strength and Fitness Systems, LLC. We are trying to be a more environmentally friendly company by moving our forms to all electronic. We appreciate you taking the time to fill this out and for saving some trees! All information entered is private and will only be seen by authorized Yun Strength and Fitness Systems LLC agents.

We will see you in camp!

Any questions please contact me as soon as possible
Jason Yun
614-432-9703
jyun@yunbootcamps.com

YUN STRENGTH AND FITNESS SYSTEMS LLC SIGN UP & WAIVER FORM Thank you for registering for training via Yun Strength and Fitness Systems, LLC. We are trying to be a more environmentally friendly company by moving our forms to all electronic. We appreciate you taking the time to fill this out and for saving some trees! All information entered is private and will only be seen by authorized Yun Strength and Fitness Systems LLC agents. We will see you in camp! Any questions please contact me as soon as possible Jason Yun 614-432-9703 jyun@yunbootcamps.com Name:
Address:
Address 2:
City/Town:
State:
ZIP:
Email Address:
Phone Number: Cell/Home/Work

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2. Date of Birth (D.O.B)

Date of Birth (D.O.B)

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3. 1. Height

2. Weight

1. Height 2. Weight 1.)
2.)

4. 1.) Primary Physician's name (optional):

2 & 3.) Emergency Contact Name and Phone Number

4.) Occupation

1.) Primary Physician's name (optional): 2 & 3.) Emergency Contact Name and Phone Number 4.) Occupation 1.)
2.)
3.)
4.)

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5. Where did you hear about us? (please be as specific as possible, mention names as we give referral bonuses. If it was online, please mention the website)

Where did you hear about us? (please be as specific as possible, mention names as we give referral bonuses. If it was online, please mention the website)

6. 1.) Please list any injuries, chronic illnesses (diabetes, COPD, asthma, etc) chronic aches and pains, previous surgeries or any other physical condition or ailment that may manifest itself during training or affect your training? Please describe in detail.

2.) Please list previous sports or workout experience?

3.) Are you currently on any medications? If so, please list:

4.) Do you have any allergies to medications? If so, please list:

1.) Please list any injuries, chronic illnesses (diabetes, COPD, asthma, etc) chronic aches and pains, previous surgeries or any other physical condition or ailment that may manifest itself during training or affect your training? Please describe in detail. 2.) Please list previous sports or workout experience? 3.) Are you currently on any medications? If so, please list: 4.) Do you have any allergies to medications? If so, please list: 1.)
2.)
3.)
4.)

7. 1.) What prompted you to join this program?

2.) What do you specifically hope to accomplish at bootcamp? What are your goals?

3.) Are you willing to commit to coming to every workout to make your goals a reality?

1.) What prompted you to join this program? 2.) What do you specifically hope to accomplish at bootcamp? What are your goals? 3.) Are you willing to commit to coming to every workout to make your goals a reality? 1.)
2.)
3.)

Disclaimer and Release of Liability
BUYER’S ACKNOWLEDGEMENT AND ASSUMPTION OF RISK AND FULL RELEASE FROM LIABILITY FOR COMPANY: BUYER ACKOWLEDGES THAT THE SERVICE/TRAINING PROGRAM PURCHASED/TRIAL HEREUNDER INCLUDE PARTICIPATION IN STRENUOUS PHYSICAL ACTIVITIES INCLUDING BUT NOT LIMITED TO HEART ATTACKS, MUSCLE STRAINS, PULLS OR TEARS, BROKEN BONES, SHIN SPLINTS, HEAT PROSTRATION, KNEE/LOWER BACK/FOOT INJURIES AND OTHER ILLNESS/SORENESS OR INJURY HOWEVER CAUSED, OCCURING DURING OR AFTER BUYER’S PARTICIPATION IN SAID PHYSICAL ACTIVITIES. BUYER FURTHER ACKNOWLEDGES THAT SUCH RISKS INCLUDE BUT ARE NOT LIMITED TO INJURIES CAUSED BY THE NEGLIGENCE OF AN INSTRUCTOR OR OTHER PERSON, DEFECTIVE OR IMPROPERLY USED EQUIPMENT, OVER EXERTION OF BUYER, SLIP AND FALL BY BUYER, OR AN UNKOWN HEALTH PROBLEM OF BUYER.

BUYER AGREES TO ASSUME ALL RISK AND RESPONSIBILITY INVOLVED WITH PARTICIPATION IN THE PHYSICAL ACTIVITIES AND HERIN AFFIRMS THAT BUYER IS IN GOOD PHYSICAL CONDITION AND DOES NOT SUFFER FROM ANY DISABILITY THAT WOULD PREVENT OR LIMIT PARTICIPATION. BUYER AGREES TO ASSUME ALL RISK AND RESPONSIBILITY FOR NOT EXCEEDING HIS/HER PHYSICAL LIMITS AND AGREES IT IS BUYER’S RESPONSIBILITY TO SEEK MEDICAL OR PROFESSIONAL ADVICE REGARDING ANY CONCERNS OR QUESTIONS INVOLVED WITH BUYER’S ABILITY TO PARTICIPATE.

BUYER AGREES TO FULLY RELEASE COMPANY AS WELL AS ANY OF IT’S AUTHORIZED OWNERS, EMPLOYEES, OR OTHER AUTHORIZED AGENTS INCLUDING INDEPENDENT CONTRACTORS, FROM ANY AND ALL LIABILITY, CLAIMS, AND/OR LITIGATION EVEN IF CAUSED BY NEGLIGENCE, INTENTIONAL ACTS/OMISSIONS AND/OR ANY OTHER TYPE OF FAULT ASSOCIATED WITH COMPANY AND IT’S AFFILIATES.

During your exercise program, every effort will be made to assure your safety. However, as with any exercise program, there are risks, including increased heart stress and the chance of musculoskeletal injuries. In volunteering for this program, you assume responsibility for these risks and waive any possibility for personal damage. You also agree that, to your knowledge, you have no limiting physical conditions or disability that would preclude an exercise program. If you do have any medical issues that may be of concern, you further agree that a physician has cleared you to participate in a training and nutrition program.

A physician’s examination is recommended for (1) all participants with any exercise restrictions; and (2) all men >44 years old and all women >54 years old. Coaching participants in either or both of these categories who do NOT have prior physician examination MUST acknowledge they have been informed of its importance. By signing below, you accept full responsibility for your own health and wellbeing and you acknowledge an understanding that the leaders of this program assume no responsibility.

I Agree to the Following:

I will not use foul or offensive language of any kind.

I will not ridicule or mock any other participant. Yun Fitness Bootcamps/Fitness Revolution Semi-Private Training/Specialty Classes is a safe environment for everyone to push himself or herself physically and mentally and I will make it a point to foster this environment. If I do hurt someone else physically or create an environment that is hurtful or unsafe for others, then I will be asked to leave the camp without a refund.

I will listen to the coach’s instruction without side talk or interruptions. If you fail to do so and the coach has to repeat him or herself as a result of this, you will be given one warning. If you continue to be a disruption, then you will be asked to leave the current workout in the best interests of the group. However, please feel free to push and encourage each other during all other times.

I fully understand that it is entirely up to me, and me alone, to do what has to be done to get results. Therefore, I understand that:

(Continued in next section)

Exercise AND Nutrition will directly affect any goals to be achieved from the Boot Camp/Semi-Private/Specialty Classes (both good and bad). I FULLY understand that I should not expect noticeable results if I am less than 90% compliant to BOTH my exercise program AND my nutrition program.

I agree to come to every workout in a timely manner by arriving to perform my pre-workout routine at least 5-10 minutes before the official start of the workout. I will not be allowed to participate if I arrive more than 15 minutes after the official start of that workout, as I will have missed the critical group warm-up. I understand that this warm-up is an essential part of having both a productive workout and preventing both short-term and long-term injuries. I agree to come to every workout with the exception of a doctor-approved absence, family emergencies, or a pre-approved absence from a coach.

I understand that there are no refunds for absences. No exceptions! I am committed to consistently attending the scheduled Boot Camps/Classes/Training Sessions, so this is not a concern for me.

If I am not able to attend a class during my 2-week trial I will inform the owner, Jason Yun, via email (jyun@yunbootcamps.com) or by phone (614-432-9703). If you find bootcamp is not for you, you must inform Mr. Yun by the methods mentioned above.

I will have a positive attitude, have fun and not use the words “no”, “can’t”. Instead I will say, “ I will try my best” (or something like that). I will allow the coaches to push me and show me that I am stronger than I ever imagined.

I am aware that Yun Strength and Fitness Systems, LLC may record workouts/boot camps for later use on television segments, websites, promotional materials, or in any other way they see fit.

By signing this document in the next question I hereby agree to all of the above in this form and authorize Yun Strength and Fitness Systems, LLC to use my name and likeness, voice, verbal statements, video taped pictures and/or videos for any of the aforementioned purposes.

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8. Sign and Date

Sign and Date Electronic Signature Participant
Electronic Signature Participant Under the Age of 18
Electronic Signature Parent or Legal Guardian
Date

Waiver & Sign-Up FormExit this survey

1. Default Section

*2. Date of Birth (D.O.B)

*3. 1. Height2. Weight

4. 1.) Primary Physician's name (optional):2 & 3.) Emergency Contact Name and Phone Number4.) Occupation

*5. Where did you hear about us? (please be as specific as possible, mention names as we give referral bonuses. If it was online, please mention the website)

7. 1.) What prompted you to join this program?2.) What do you specifically hope to accomplish at bootcamp? What are your goals?3.) Are you willing to commit to coming to every workout to make your goals a reality?