What are the dates and class time you are joining ?

Please check calendar for camp dates, times and locations

$199 (4 days/week) | *$175 (3days/week) | $89 (2 Week Summer Camp)   *This option is for those who have other commitments in the early a.m.  Since it is only a 4-week class, we do prefer you to attend the full 4-day a week program for best results and overall work-out!   You can do it!! ) !

MEDICAL HISTORY  (If you are a returning camper, only complete the sections that have changed.)

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

RELEASE
This release is entered into between the undersigned and Amelia Island Adventure Boot Camp, its officers, subsidiaries, affiliates, and executors in addition to the City of Amelia Island. The purpose of Amelia Island Adventure Boot Camp including Amelia Island 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 Karlena Barron 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 Amelia Island Adventure Boot Camp does not guarantee either good nor bad will occur nor guarantees the training advice given by Karlena Barron including Amelia Island 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 Amelia Island Adventure Boot Camp for the undersigned participating in said sporting events and/or training for said sporting events.

5. Amelia Island Adventure Boot Camp reserves the right to cancel a boot camp class for instructor illness, major holidays (i.e. Memorial Day, July 4 th , Thanksgiving, and Christmas) and/or inclement weather (i.e. Hurricane or Tornado). All efforts will be made to find a qualified instructor in the event of illness.  Credit towards another camp can be used during the calendar year for any canceled boot camp classes for inclement weather conditions stated above.

Amelia Island Adventure Boot Camp shall not be liable for any injuries or damages to me, or subject to any claim , demand, injury or damages, whatsoever, including without limitation, those damages from acts of passive or active negligence on the part of  Amelia Island Boot Camp their officers, employees, or agents.  I do hearby expressly forever release and discharge Amelia Island Adventure Boot Camp from all such claims, demands, injuries, damages, actions, or causes of action.  I acknowledge that I have carefully read this paragraph and fully understand that this is a waiver and release of liability .

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

I agree not 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. Or, I will be charged a $100.00 cancellation fee if and only if I notify Amelia Island Adventure Boot Camp staff prior to my session start date.    Camp fees can not be used towards any other products or services provided by Amelia Island 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.

It is my responsibility to insure that I am physically able to participate in this program.  Only a doctor can advise me on my ability to participate.  By my signature below, I am acknowledging that I have been given the opportunity to obtain that advice and that I have been advised that I can participate.

I will bring a positive attitude, and expect to have fun!

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Signature
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Printed Name
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Date