Women and Men's Adventure Fitness Boot Camp in Southern Oregon, bootcamp for women and men, adventure boot camp, womens and men fitness program, womens and men weight loss, exercise camp, womens and men camp, exercise, workout programs, outdoor exercise

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Boot Camp Registration

Southern Oregon Adventure Boot Camp Class
REGISTRATION

You now have 2 options:
A. You can print this form and send it in with payment by mail
B. Register O
nline
Fill out the online form below to register via internet. Click on Submit to go to the payment page.
Payment Page: Pay via Paypal. Choose your class and finish your online registration. A PayPal account is not required to pay via PayPal.

NOTE: Spaces fill quickly for this unique experience. We cannot guarantee your space until we have received payment.

If paying by check, please make check out to:
Southern Oregon Adventure Boot Camp
1410 Applegate Lane
Medford, Oregon 97501
jackieauchard@msn.com
Phone: (541) 292-3343

You will be notified to schedule your pre-camp evaluation (if needed for your program).
Name Email Address
Address City / State / ZIP
Profession Country
Date of Birth (mm/dd/yyyy) Phone Number
Work Number Fax Number
I rate my current fitness level as a (1-10), ten being high.
I was referred by:
When was the last camp you attended:
My Main goal is:
Name of Emergency Contact & Phone Number
What is the name of the program & which amount of days are you joining?
 
Form of payment:    

$299 (5 days/week) | *$250 (4days/week)  | *$199 (3days/week)   *This option is for those who have other commitments in the early a.m.  Since it is only a 4-week class, we do prefer you to attend the full 5-day a week program for best results and overall work-out!   You can do it!! ) !

Agree to the following:

  • I agree not to use foul language during Boot Camp. Any violation will result in twenty push-ups per occurrence.
  • I agree not eat or say the words Twinkie, Donuts, Ho-Ho's, Ding Dong, or Cup Cake during the course of Boot Camp. Any violation will result in twenty push-ups per occurrence.
  • I agree to show up for Boot Camp every day unless it is an excused absence from my doctor or pre-approved with Boot Camp directors. Any violation will result in twenty push-ups per occurrence.
  • I understand that photos or video may be taken during the course of my involvement in Boot Camp, which may be used for promotional purposes. I understand that my "before & after" photos will not be used for any promotional purposes unless I give written authorization.
  • I understand there is no refund policy, but I can receive a credit (for unused portion of camp) towards a future camp if I'm not able to complete the one I originally joined. Camp fees can not be used towards any other products or services provided by Southern Oregon Adventure Boot Camp.
  • I will remember to set my alarm and be at camp on time.
  • I understand that diet and nutrition will effect my fitness goals and performance during boot camp.
  • I will bring a positive attitude, and expect to have fun!
  • I agree that I will not consume alcohol during the month of Boot Camp.
Your signature will be required at the time of your evaluation and you agree to the terms now!

____________________
Signature
 ____________________
Printed Name
____________________
Date
 

I agree to all Terms and Conditions listed above

 

 

For More Information contact Jackie: (541) 292-3343 / jackieauchard@msn.com
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