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An interval training class that mixes calisthenics and body weight exercises with cardio and strength training. With a new workout every week, these classes are designed to push participants harder than they’d push themselves and to always keep the body guessing.

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	Home Phone:	Cell #: Work #:
	Email:	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info (Not Contact #1 or #2)*

Students entered below will be added to your family's account

Add New Student #1:

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	Student's First Name: *	Last Name: *
	Student Gender: *	Birth Date: * (format=mm/dd/yyyy)
	School:*	Grade Level:
	Disabilities:*
	Allergies:*
	Medications:*
	Primary Doctor:*

Questions/Options:


What is your reason for attending fitness bootcamp? (i.e. weight loss, develop muscle, toning, fun, motivation, etc)*
Do you have any current medical conditions we need to be aware of?*
If yes, please list:
Are you pregnant now or have given birth within the last 6 months?*
Have you been exercising consistently for the past 3 months? *

Additional Information:

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