PRE-EXERCISE QUESTIONAIRE - IMPORTANT INFORMATION:
Participant must read and understand fully, the importance and relevance of this document. A participant can only be accepted on his/her chosen ORIGINAL BOOTCAMP or TravelFit 360 course or Try Out session once this form has been completed and submitted.

ORIGINAL BOOTCAMP & TravelFit 360 courses are intensive fitness programs that are comprised of both physical and mental activities (running, jumping, lifting, various strength and cardio activities) and are both physically and mentally demanding. If you require a brief or more detailed description of the activities involved please call us on 0400 015 030.


Which location would you like to Try Out? *
Name *
Name
Address
Address
Who invited you to Trial session? *
Who invited you to Trial session?
Emergency Contact
Please fill out all details carefully.
Emergency contact *
Emergency contact
Medical & Fitness history
Do you have any major illnesses or disabilities? *
Do you have any medical conditions? *
Are there any conditions that may limit your physical activity? *
Do you have a heart condition? *
If you have selected yes, you will need recent clearance from your doctor.
Are you pregnant? *
Are you presently exercising? *
Additional comments
Participants Declaration
*
By submitting this form, I declare that the information given in this form is true and complete to the best of my knowledge. I understand that all participants take part at their own risk and must accept personal liability for any injury, illness or loss. I declare that I consider myself to be in good health and fit to participate in my chosen ORIGINAL BOOTCAMP and Bootcamp Fitness Network (OBC) course. I hereby represent to ORIGINAL BOOTCAMP (OBC), its management, associated companies, trusts, partnerships and other legal entities, their directors, officers, employees, agents, contractors and affiliates that I am physically capable of and there is no medical reason to prevent me from proceeding with any program run by ORIGINAL BOOTCAMP and the Bootcamp Fitness Network without endangering my health. I acknowledge that whilst participating in the ORIGINAL BOOTCAMP (OBC) program, my person and my property are at my own risk. I acknowledge that I will not hold ORIGINAL BOOTCAMP (OBC) responsible for and ORIGINAL BOOTCAMP (OBC) hereby excludes, to the extent permitted by law, all liability for any personal injury or damage {whether direct, indirect, special or consequential} suffered by me while I am participating in ORIGINAL BOOTCAMP (OBC) program however that injury, damage or loss is caused, including if it is caused by the negligence of ORIGINAL BOOTCAMP (OBC). I acknowledge that except as provided in this document, ORIGINAL BOOTCAMP (OBC) gives no warrantee in respect to the services and equipment it provides. I accept that there are no rain checks, refunds or make up days unless at the discretion of ORIGINAL BOOTCAMP (OBC). I hereby permit ORIGINAL BOOTCAMP (OBC) to utilize any images and video of myself for promotional or marketing use of the ORIGINAL BOOTCAMP (OBC) program. I hereby release and will indemnify ORIGINAL BOOTCAMP (OBC) for any injury or loss suffered by me whilst participating in any ORIGINAL BOOTCAMP (OBC) program. I have read, understood and agree to the terms and conditions of ORIGINAL BOOTCAMP.