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Print this form, fill it out and bring with you to your evaluation.
(You will not be able to participate in the Adventure without a signed waiver)

Informed Consent, Waiver, and Release Agreement

This waiver and release is entered into between the undersigned and Goodyear Adventure Fitness Boot Camp, its instructors, officers, affiliates, and executors.

The purpose of the Goodyear Adventure Fitness Boot Camp Program, is to provide fitness instruction and coaching for various levels of athletes/individuals.

The undersigned hereby acknowledges that the following was explained to me and/or agree to the following:

  1. Acknowledges that the instructor is not a physician and is not trained in any way to provide medical diagnosis or any other type of medical advice.
  2. Acknowledges that coaching/training is another tool for teaching athletes/individuals about themselves, but Goodyear Adventure Boot Camp does not guarantee neither good nor bad will occur, nor guarantees the training advice given by Goodyear Adventure Fitness Boot Camp or its instructors will produce good nor bad results.
  3. Acknowledges that the undersigned has been told if they feel tired, feel pain or feel out of the ordinary in any way either related to your training, or otherwise, that the undersigned should contact a physician at once.
  4. Acknowledges that boot camps, aerobic classes, martial arts, kick boxing, running, kung-fu, weight training, obstacle courses, and any other related sports are an extreme test of one's mental and physical limits and carry with it potential for damage or loss of property, serious injury and death. That the undersigned assumes the risks of participating in these types of events and activities, that they are fit, and they have a regular medical physician they can contact regarding any medical problems that they might develop.

The undersigned expressly waive, release, discharge and agree not to sue from any liability of death, disability, personal injury, or action of any kind Goodyear Adventure Fitness Boot Camp, its instructors, officers, affiliates, and executors for the undersigned participating in said sporting events and/or training for said sporting events.

The Undersigned agrees that this is the full agreement between the parties, that no representatives of Goodyear Adventure Fiyness Boot Camp, nor anyone else has verbally contradicted any of the terms of this release and that the undersigned has entered into this agreement free and voluntarily without force or coercion.

PERFORMANCE PLEDGE

In the spirit of harnessing your best effort and providing optimum results from your Goodyear Adventure Fitness Boot Camp experience, we have established the following policies to which you will need to adhere. Please read and initial each one.

______ I agree that I will not consume alcohol during the month of Boot Camp.

______ I agree not to use foul language during Boot Camp.

______ I agree not to eat or say the words Twinkie, Donuts, Ho-Ho's, Ding Dong, or Cup Cake during the course of Boot Camp.

______ 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.

______ I will arrive at camp ON TIME.

(Any violation of the above statements will result in twenty push-ups per occurrence.)

I understand that photos or video may be taken during the course of my involvement in Goodyear Adventure Fitness 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, for reasons beyond my control, I am not able to complete the one I originally joined. Camp fees cannot be used towards any other products or services provided by Goodyear Adventure Fitness Boot Camp.

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 Signature                                                      Printed Name                                           Date