User account | LoCo Boot Camp

Username: *

Spaces are allowed; punctuation is not allowed except for periods, hyphens, and underscores.

E-mail address: *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Password: *

Confirm password: *

Please choose a password for your account; it must be no more than 30 characters.

First name: *

Last name: *

Sex: *

Male

Female

Phone number: *

Email address: *

Emergency name: *

Emergency number: *

Have you ever registered for LoCo Boot Camp before?: *

Yes

Birthday: *

Format: 05/20/2012

Referral name:

If a LoCo camper referred you, what's their name?

Are you registering with a friend?:

If you are registering with a friend, family member, or a bridal party, please list their names even if they will be attending a different class/time. They will have to register individually, but it helps us know who's with who!

Are you a man over the age of 45 or a woman over the age of 55?: *

Yes

Do you have a heart condition?: *

yes

Do you ever have chest pains?: *

yes

Do you easily lose your balance, get dizzy, or lose consciousness while either sedentary or active?: *

yes

Do you have a bone, muscle or joint problem that could be made worse by becoming more physically active?: *

yes

Do you take medication for blood pressure, diabetes, cholesterol, or heart conditions?: *

yes

Are cardiovascular risks (diabetes, heart disease, high blood pressure or cholesterol) present in your immediate family?: *

yes

Are you pregnant or have you recently given birth?: *

yes

Do you have chronic pain?: *

yes

Are you currently sedentary?: *

yes

Are you a breast cancer survivor?: *

yes

If you are a breast cancer survivor, there is no charge for camp, just please send us your doctor's release. Thanks for being such an inspiration for the rest of us!

Medical History

NOTICE: It is wise to seek your doctor’s advice before beginning any health, fitness, or nutrition program! Regular physical activity is fun and healthy, and being more active is very safe for most people. If you answer YES to any of the following questions, talk to your physician about the implications of becoming more physically active by participating in LoCo Boot Camp. For your safety, we reserve the right to suspend your registration until you receive your doctor’s approval to participate in camp.

Medical History:

Are there any other issues, concerns, or circumstances that may increase the risk of injury or harm to you, other participants or trainers as a result of your participation in LoCo Boot Camp?

Release

IMPORTANT: Please read carefully and acknowledge your agreement to comply with the terms of our policies by responding where indicated so that we can be sure you have been provided with and understand this information.

I have read, and I agree to, the Waiver of Liability, Indemnity Agreement and Assumption of Risk.: *

Yes, I read it and agree.

No, I didn't read it or do not agree.

Click here to download the Waiver of Liability, Indemnity Agreement and Assumption of Risk. - Click here to download Adobe Acrobat Reader

I have read, and I agree to, the terms and conditions of the Informed Consent Agreement.: *

Click here to download the Informed Consent Agreement. - Click here to download Adobe Acrobat Reader

Math question: * 1 + 9 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.