July/August Bootcamp Registration Form
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1. Forget the Gym - Bootcamp Registration Form

 
Please complete the form below to confirm your place for August Classes. September/October registration will open on 15th August.

Payment can be made via Credit Card, Bank Transfer, Cheque or Cash.

Classes start on Monday 9th August (for 4 Weeks), but it is possible to commence at any point during the programme.
Please send an email if you wish to start mid month and I can send you details of discounted pricing.

1. Please enter the following personal details :

2. How many classes will you attend each week (4 Weeks in Total) :

3. Please select the class times you wish to register for :

4. What is your current fitness level. What exercise do you currently do on a weekly basis ?
(it's ok to tell the truth!, most people do very little. Our aim is to make you enjoy exercise and increase what you currently do!)

5. Do you suffer from any of the following conditions. Please Tick box for any conditions. If none, please tick 'None of the Above' box.

Please provide full details in comments box

6. Are you pregnant? Or planning a pregnancy in the next 3 months?

** Please note, Beach Bootcamp is not suitable for Pregnant Women. If you do become pregnant during bootcamp, please advise instructor immediately.

7. Please write your name below to agree with the following statement :

I have volunteered to participate in a program of physical exercise under the direction of Revive Fitness/ForgetTheGym.ie, which will include, but may not be limited to, weight and/or resistance training. In consideration of Revive Fitness/ForgetTheGym.ie agreement to instruct, assist, and train me, I do here and forever release and discharge and hereby hold harmless Revive Fitness/ForgetTheGym.ie, and their respective agents, heirs, assigns, contractors, and employees 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. This waiver and release of liability includes, without limitation, injuries which may occur as a result of (1) equipment that may malfunction or break (2) any slip, fall, dropping of equipment and (3) our negligent instruction or supervision.

8. Please write your name below to agree with the following statement :

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; heart attack; and, in rare instances, death.
I understand that as a result of my participation in an exercise program, I could suffer an injury or physical disorder that could result in my becoming partially or totally disabled and incapable of performing any gainful employment or having a normal social life.

9. Please write your name below to agree with the following statement :

I recognise that an examination by a physician should be obtained by all participants prior to involvement in any exercise program. If I have chosen not to obtain a physician’s permission prior to beginning this exercise program Revive Fitness, 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 that results are individual and may vary.

10. Please sign your name below to agree with the following statement :

I acknowledge that i have thoroughly read this waiver and release and fully understand that it is a release of liability. By signing this document, i am waiving any right I or my successors might have to bring a legal action or assert a claim against Revive Fitness/ForgetTheGym.ie for your negligence or that of your employees, agents, or contractors.

11. To secure your place, please Confirm Payment Option, and process your payment :

To complete your registration click 'Submit Your Registration' button below.

Please note Bank Holiday arrangements:

AUGUST No classes will take place on the following days
August 1st, 2nd, 3rd.

Classes are 1 hour long and will take place in all weather conditions.

Many thanks for your registration, I will email you full details shortly - Meeting Points, Payment Methods, What to bring etc..