| Name: |
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| Surname: |
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| Sex: |
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| Postal Address: |
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| Suburb/City: |
Postal Code:
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| Work Phone: |
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| Home Phone: |
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| Cell: |
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| Fax: |
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| Email: |
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| Date of Birth: |
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| Profession: |
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| I rate my current fitness level as: |
(1-low ... 5-high)
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| I heard about Commando Boot Camp through: |
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| Emergency contact person: |
Number:
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| I would like to attend for: |
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| I would like to start the week of: |
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| I will attend the camp at: |
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| Please list and give details of any current or previous injuries
we should know about: |
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| Please list and give details of any current or previous medical
issues that we should know about: |
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Release
Please read and indicate your acceptance by checking the box at the
bottom.
This release is entered into between the above mentioned individual
and Commando Boot Camp cc (hereinafter referred to as CBC), its
officers, trainers, affiliates, trainers and executors, as well as all
private and public locations where CBC boot camp classes are
conducted.
The purpose of CBC is to provide fitness instruction and coaching
for various levels of individuals as described on their website. I am
the individual registering for this programme and hereby agree to the
following:
- I hereby affirm that I am in good health and capable of
participating in the fitness activities provided by CBC.
- I acknowledge that trainers of CBC are not physicians and are not
trained in any way to provide medical diagnosis, medical treatment,
or any other type of medical advice.
- I acknowledge that the purpose of this programme is to elevate my
physical state and fitness but that CBC does not guarantee good or
bad results will occur nor guarantees the training advice given by
CBC trainers will produce good or bad results.
- I acknowledge that I am aware that if I feel tired, pain or out
of the ordinary in any way, either related to my training or
otherwise, that I will consult a physician at once.
- I acknowledge that photography and videos may be taken from time
to time and that participants will be told in advance whenever
possible of the days in which this will happen. I hereby authorize
CBC to make use of my image(s) for marketing, publishing or any other
lawful purpose.
- I am aware of all inherent dangers in exercise participation. I
acknowledge and understand I will be engaging in activities that
involve risk of serious injury, including permanent disability or
death, and severe social and economic losses which might result not
only from my own actions, inaction or negligence, but action,
inaction or negligence of others, or the condition of the premises on
or off site or of any equipment used and further, that there may be
other unknown risks not reasonably foreseeable at this time. I assume
all these risks and expressly waive, release, discharge and agree not
to sue CBC for any loss, damage, death, disability, injury, or action
of any kind for participating in this programme or any other
activities organized by CBC.
- I acknowledge that my membership with CBC is not transferable to
another person and that refunds or prorates are not granted except
only in the case of a personal medical situation and with a
doctor’s letter, in which case, the unused part of my membership
may be moved forwards for when I am allowed to resume exercise by my
doctor.
- I agree not to set up a boot camp training programme or similar
outdoor fitness training programme of any kind in South Africa.
- I agree that this is the full agreement between the parties. I
acknowledge that neither CBC nor anyone else has verbally
contradicted any of the terms of this release and that I enter into
this agreement out of my own free will, without force or coercion.
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