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Calabrese Consulting LLC
8708 Doral Court West
Flower Mound, TX 75022
Kelli@KelliCalabrese.com
Phone: (817) 490-1296

NOTE: Spaces fill quickly for this unique experience. We cannot guarantee your space until we have received payment.

*Name:

Address:

City:

State:

Zip:

Profession:

Country:

Date of Birth:

(mm/dd/yyyy)

Home Phone:

Work Phone:

Fax Number:

Mobile Number:

*Email:

Fitness Level:

Referred by:

How did you hear about us:

Specific Referral:

First Camp:

Yes No

*Emergency Contact:

*Emergency Number:

Days of the Week:

Are you the second person in your
household registering for this camp

Yes No

Payment Type:

TShirt Size:

Allergies:

YesNo

Allergy List:

Currently on Medications:

YesNo

Medications List:

Has Epilepsy:

YesNo

Has Diabetes:

YesNo

Diabetes Medications:

Is Anemic:

YesNo

Has Hypertension:

YesNo

Hypertension Medications:

Heart Disease History:

YesNo

Lung Disease History:

YesNo

Kidney Disease History:

YesNo

Liver Disease History:

YesNo

Has Asthma:

YesNo

Asthma Medications:

Neck Injury History:

Been Knocked Out:

Wears Eyeglasses:

YesNo

Has Broken Bones:

Back Injury History:

Do you have Back Pain:

YesNo

Knee Injury History:

Other Pain History:

Surgical Procedures:

Goals:

Been Fat Tested:

YesNo

Fat Tested Percent:

Is Training:

YesNo


Agrees to Terms:
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 Argyle Adventure Boot Camp.
I will remember to set my alarm and be at camp on time.
I understand that diet and nutrition will affect my fitness goals and performance during boot camp.
I will bring a positive attitude, and expect to have fun!

	The undersigned agrees to confidentiality with respect to Argyle Adventure Boot Camp (AABC)and all services provided by same. Undersigned agrees to refrain from disclosing, directly or indirectly, any and all aspects of AABC. The undersigned agrees to non-compete within a 35 mile radius of AABC for a period of 5 years from date of participation.

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