Westside Women's Adventure Fitness Boot Camp in Santa Monica, bootcamp for women, adventure boot camp, womens fitness program, womens weight loss, exercise camp, womens camp, exercise, workout programs, outdoor exercise

Boot Camp Registration

Westside Adventure Boot Camp Class
REGISTRATION

Brief Overview of WABC Payment Options:
Each Camp lasts 4 weeks with classes offered 6 days/wk (Monday - Saturday).

Coed Classes
M/W/F from 5:30 - 6:30 am
T/TH from 6-7 pm
SA from 8-9 am

Women Only Classes
Mon-Fri from 6:45 - 7:45 am & 8:30 - 9:30 am

**Pricing Options for each 4 week camp:
1 workout = $25
8 workouts = $144
12 workouts = $209
16 workouts = $229
20 workouts = $249
24 workouts = $299

**USE 'EM or LOSE 'EM!...regardless of the option you choose from above, it is your responsibility to get those workouts in during the particular 4 week boot camp you sign up for. There will be NO Carry-Over classes from camp to camp...EXCEPTION being medical emergencies or unforeseen injury.

**FLEXiBILITY is our middle name!...once you pick your PRIMARY CAMP option of choice (M/W/F...5:30, 6:45 or 8:30 am; T/TH 6 pm) you have total flexibility as to when you come out...just get your workouts in.

**I PAY YOU to Workout!...for every family member, friend or co-worker you refer to camp who ends up purchasing at least an 8 workout package, I WiLL PAY YOU $50. How cool is this...you're sharing the gift of health and wellness and getting paid to exercise at the same time!!

**DISCOUNTS**

VIP INNER CIRCLE Membership -
30% OFF Unlimited Workouts with a 10 camp commitment

We have a confession to make. Westside Adventure Boot Camp is addictive. This program is quickly becoming our most popular. Campers tell us they are addicted to boot camp and many of them refer to themselves as “lifers”. We know we’ve got a secret ingredient – fun, thrilling workouts that leave you begging for more. Every day at camp is different as we take you on a fitness adventure so you’ll never have a ho-hum moment!

It’s perfect for people who are tired of “spinning their wheels” and getting nowhere with their fitness program. If you want to reclaim your attractive, energetic body once and for all… this is for you!

You can do this. I believe you simply cannot lose as long as you are committed and take action.

2 OPTIONS:

A. Full Year of Boot Camp (10 camps), UNLIMITED Workouts, PAID IN FULL = $2090...a SAVINGS of $900.
This gets you unlimited workouts each camp (up to 24) each of the 10 camps for only $209/camp....it's like you get your first 3 camp of the year for FREE!

B. Full Year of Boot Camp (10 camps), UNLIMITED Workouts, paid through MONTHLY AUTOMATIC DEBIT = $2190 total...a SAVINGS of $800.
For those who want the discount but can't pay in full, this is the option for you. Each month (over the course of 12 months) your PayPal Account will be debited $182.50...this gets you unlimited workouts (up to 24) each of the 10 camps for only $219/camp.

**Inner Circle Early Cancellation Policy: If you cancel your 12 month membership early, a $199 fee will be charged to your credit/debit card or checking account immediately.

You now have 2 options:
A. You can print this form and send it in with payment by mail
B. Register Online
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:
Adam Brewer
2629 Main St., #132
Santa Monica, CA 90405
adam@westsidebootcamp.com
Phone: (310) 383-2828

Registration Form
You will be notified to schedule your pre-camp evaluation (if needed for your program).
Personal Information
Name		Address
City		State / ZIP	/
Profession		Country
Date of Birth	(mm/dd/yyyy)	Phone Number
Work Number		Fax Number
Email Address
Name of Emergency Contact & Phone Number		\|

Camp and Payment Information
What camp are you joining?
What time are you attending?
Choose your camp frequency and cost.
Form of payment:
Returning Campers click here to skip Self Assessment and Medical History Questions if your information has not changed.
New Campers, please complete the Self Assessment and Medical History Questions.

Self Assessment & Additional Information
I rate my current fitness level as a (1-10), ten being high.
I was referred by:
How did you hear about us?:
Please specify publication / website / friend or other referral:
This is my first camp:	Yes \| No
If you answered "no", when was the last camp you attended:
My Main goal is:

Medical History
(If you are a returning camper, only complete the sections that have changed.)
1. Are you allergic to any medication (aspirin, penicillin, sulfa, etc.)?
List Medications:
2. Do you take any prescribed medication on a permanent or semi-permanent basis?
List Medications:
3. Do you have a seizure disorder (epilepsy)?
4. Do you have diabetes Adult or Juvenile?
List Medications:
5. Have you ever been found to be anemic (low blood count)?
6. Do you have High Blood Pressure (hypertension)?
List Medications:
7. Do you have or have you ever had the following diseases?
Heart Disease:
Lung Disease:
Kidney Disease:
Liver Disease:
8. Do you have asthma?
List Medications:
9. Have you ever had a severe neck injury? Describe:
10. Have you ever been knocked out? Describe:
11. Do you wear glasses or contact lenses?
12. Have you had a broken bone or fracture in the past 2 years? Describe:
13. Have you ever injured your back? Describe:
14. Do you have back pain?
15. Have you had knee pain in the past 2 years that has disabled you for longer than a week? Describe:
16. Do you have other physical conditions which cause pain? Describe:
17. Detail any surgical procedures:
18. What are your goals for the next three months?
19. Have you had your body fat tested?
If yes, what percent is it?
20. Are you training for a specific event? If yes, explain:

Release

NOTICE: It is wise to seek your doctors advice before beginning any health/fitness/nutrition program!

This release is entered into between the undersigned and Westside Adventure Boot Camp, its officers, subsidiaries, affiliates, and executors in addition to the City of Santa Monica. The purpose of Westside Adventure Boot Camp is to provide fitness instruction and coaching for various levels of athletes/individuals.

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

1. Acknowledges that Adam Brewer is not a physician and is not trained in any way to provide medical diagnosis, medical treatment, or any other type of medical advice.

2. Acknowledges that coaching/training is another tool for teaching athletes/individuals about themselves, but that Westside Adventure Boot Camp does not guarantee neither good nor bad will occur nor guarantees the training advice given by Adam Brewer including Westside Adventure Boot Camp 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/activities including the elements of a natural environment, 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 Westside Adventure Boot Camp 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 Westside Adventure Boot Camp including Adam Brewer nor anyone else has not 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.

Customer client agrees to confidentiality with respect to Westside Adventure Boot Camp and all services provided by same. The undersigned agrees to refrain from disclosing, directly or indirectly, any and all aspects of Westside Adventure Boot Camp. The undersigned agrees to a non-compete within a 50 mile radius of Westside for a period of 5 years from date of participation.

I agree not to use foul language during Boot Camp. Any violation will result in twenty push-ups per occurrence.
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. 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 Westside 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

Agreement and Signature

I agree to all Terms and Conditions listed above

Electronic Signature

Date (MM/DD/YYYY)

For More Information, Contact us at (310) 383-2828 or e-mail name@email.com