Registration Boot Camp

Boot Camp Registration

Thank you for your interest in our program

First Step:
Please make your payment now:

Please enter your information and answer ALL the questions and submit the form below to complete the registration process. Once you fill out this registration form and hit the SUBMIT button at the bottom of the page you will be prompted to make your payment through Pay Pal or to send in your check.

NOTE: We cannot guarantee your space will be reserved if you do not supply us with payment prior to your camp start date

For more information, questions about our program or payment or to speak with someone please email or call us now!

info@naturalforcefitness.com
Phone (925)-518-3434

Step 1. Make your payment

Registration

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Primary Email *

Emergency Contact Name *

First

Last

Phone Number *

Email *

How did you hear about us? *

Name of the person who referred you. We love referrals and want to make sure we thank the person who referred you. *

Email address of person who referred you *

Select Camp Session/Date *

Is this your first camp? *

If "NO" to first camp when was the last camp you attended? *

Are you training for a specific event? If so please describe with date *

Rating from a 1-10 (10 being the best) How would you rate your fitness level? *

What is your goal for this camp? *

Please let us know what your goals are for the next 30 days. Also PLEASE DESCRIBE ANY PRIOR EXERCISE/SPORTS HISTORY & EXPERIENCES or EDUCATION [GOOD & BAD] *

Are you currently on a diet, weight loss program or supplements? *

If yes, what diet/plan/supplements are you on/taking? *

Do you have ANY physical limitations that restrict your ability to exercise or to execute normal, functional movements? Or has a medical professional ever directed you to limit your exercise, or that you not participate in an exercise program which is not directly administered by a medical professional? Please explain below. *

If yes, please explain below *

Have you ever suffered a back injury? Or have back pain? *

If yes, how long ago? How often? *

Have you ever had a neck injury? Or have neck pain? *

If yes, how long ago? How often? *

Have you had a knee injury, surgery or suffer from pain? *

If yes, how long ago? *

Physician's Name *

First

Last

Phone Number *

Email *

Are you now or have you been a fitness trainer, exercise instructor, wellness/nutrition coach or nutritionist? *

If yes, when? *

Have you suffered from a fracture, broken bone or sprain in the past 2 years? *

If yes to any of the questions please explain *

Once you submit your registration your spot will not be saved until payment is made.

Someone will contact you within 24 hours of your registration to schedule your Pre-Camp evaluation and review any questions you may have prior to starting your camp session.

You will be required to sign the following paperwork prior to participating in your camp session:

Performance Pledge,
Particiipation Agreement,
Liability/Medical Release, Informed Consent Waiver
NON-Compete Agreement

By clicking the submit button below you agree to the terms (please see section above for terms), and confirm that all information you have submitted to be true to the best of our knowledge.

Submit

When you click on SUBMIT you will be directed to the payment option page for confirming your