New Camper InfoName *FirstLastEmail *Choose a Password *PasswordConfirm PasswordBirthday *Contact Phone *Address *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeProfessionWhat's your current fitness level? *1 - Least Fit2 - Somewhat Fit3 - Moderately Fit4 - Above Average5 - AthleteMy Fitness Goal is to... *T-Shirt Size *SmallMediumLargeXLargeXXLargeChoose the size for your free t-shirtEmergency ContactName *FirstLastPhone *ReferralHow Did You Hear About Us? *Referral SourceFriend ReferralFacebookWAFF 48Other (Please Specify)Other Source, Please SpecifyWhere did you hear about us?NextMedical HistoryEnter information about your medical historyAre you allergic to any medications? (Aspirin, Penicillin, Sulfa, etc) *YesNoList Medications *Do you take any prescribed medications on a permanent or semi-permanent basis? *YesNoList Medications *Do you have any of the following conditions *Seizure Disorder (epilepsy)Diabetes (Adult or Juvenile)Anemia (Low Blood Count)High Blood Pressure (Hypertension)N/AHave you or do you have the following diseases? *Heart DiseaseLung DiseaseKidney DiseaseLiver DiseaseAsthmaOther?N/AOther Medical ConcernsHave you ever have/had one of the following? *Severe Neck InjuryBeen Knocked OutBroken Bones in the last 2 yearsBack InjuryChronic Back PainSurgeriesN/APlease Describe Any Conditions SelectedList any surgeries:Are you training for an event? *NextTerms and ConditionsTerms *I agree that I will not consume alcohol during the month of Boot Camp. But if I choose to, I understand that doing so can affect my results in a negative manner. I agree to not use foul language during boot camp (out of respect for other campers).I agree not to eat foods that are fried, made with lots of sugar, have saturated fat or anything else not deemed healthy by the boot camp instructor during the course of Boot Camp. But if I choose to, I understand that doing so can affect my results in a negative manner.I agree to show up for Boot Camp every day. But if I do not, I understand that doing so can affect my results. 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 a NO REFUND AND NO ROLL-OVER POLICY. I am committing to THIS four week boot camp and will attend the sessions I have purchased. The only exception is due to a medical condition proven by a doctor's note, where upon I can receive a credit to a future camp. If this is necessary, I will call Huntsville Boot Camp owners immediately to discuss my credit. I cannot discuss and arrange a credit after the session is complete. I will remember to set my alarm and be at camp on time. I will bring a positive attitude, and expect to have fun!I have read and agree to the Release Waiver. Read WaiverWebsiteSubmit