Registration

REGISTRATION FORM
Name*

First NameLast Name
Gender*
Email*
Address*

Street Address

Street Address Line 2

CityState / Province

Post Code
Date of Birth*

DayMonthYear
Phone Number*
Blood Group
Where did you hear about us? *

A Friend Google Blog Post News Article Facebook Leaflet Other
Reason for joining *

Lose Weight

Get Fitter

Make Friends

Tired of the Gym

Build Muscle

Want to try something different

Heard positive feedback about Warrior Bootcamp
Date of first class*

DayMonthYear
Time of first class *
T-Shirt Size
Select Size*
In the event of an emergency, contact?
Full Name*

First NameLast Name
E-mail*
Phone Number*
Relationship*
Important Health Questions
Have you ever had asthma, used an inhaler or been troubled with shortness of breath?
Do you have diabetes or raised blood sugar levels?
Are you pregnant or just given birth?
Have you ever had heart disease of irregular heartbeats?
Have you ever experienced chest pain of angina?
Have you ever been told you have high blood pressure?
Have you undergone any recent medical operations?
Do you have any current physical injuries ?
Have you ever passed out, felt dizzy, had chest pain, or had trouble breathing during exercise?
Have you ever experienced a serious allergic reaction to insect bite
Do you suffer from arthritis or any other back, bone of joint problems?
Are you taking any prescribed mediation?
Are you currently receiving treatment for any health conditions?
Are you over 55 years of age ?
If you answered YES to any of the above please provide more details here
Answering YES to any of the above questions will not necessarily exclude you from our activities, however you may need to obtain clearance from your doctor stating that you are able to undertake a Warrior Bootcamp training. You must submit the doctor’s approval with this form prior to joining our training.
DISCLAIMER
All Warrior Bootcamp instructors and their assistants shall endeavour to advise and guide participants to train in a safe and proper manner during each exercise session. However Warrior Bootcamp KK shall not be held responsible for any injuries suffered by any of the participants during the course of exercising and/or as a result of the exercise. If any of the participants suffer any sickness or illness they are advised to seek medical advice promptly.
TERMS & CONDITIONS
Warrior Bootcamp is demanding both mentally and physically. You will be taking part in fitness classes which include ropes, tyres, weights , boxing , sprints, endurance runs , hiking , high intensity circuits , agility tests, games buddy training , obstacle courses and team activities.
- I acknowledge this questionnaire was completed in full and I have read and understand the terms and conditions.
- The information given by me in the questionnaire is true and accurate
- I agree that I will undertake outdoor exercise in accordance with Warrior Bootcamp terms and conditions.
- I have obtained clearance from the doctor where required or recommended.
- I understand that there may be risks involved in the training I participate in and agree to assume such unforeseeable risks.
- I agree to indemnify, defend and hold harmless Warrior Fitness and Adventure Sdn Bhd from any claims, causes and actions as a result of my unlawful action or failure to act during an activity.
Yes I agree to the above terms and conditions
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T-Shirt Size

In the event of an emergency, contact?

Important Health Questions

DISCLAIMER

TERMS & CONDITIONS