If paying by check, please make payable to:
Bend Boot Camp
PO Box 7422
Bend, Oregon 97708-7422
karleen@bendadventurebootcamp.com
Phone: (541) 350-5343

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.

Informed Consent, Waiver, and Release Agreement

Release Agreement

This waiver and release is entered into between the undersigned and Bend Adventure Boot Camp Adventure Boot Camp/ Karleen Schonger its instructors, officers, affiliates, and executors.

The purpose of the Adventure Boot Camp Program offered by Karleen Schonger is to provide fitness instruction and coaching for various levels of athletes/individuals.

The undersigned hereby acknowledges that the following was explained to me and/or agree to the following:

• Acknowledges that the instructor is not a physician and is not trained in any way to provide medical diagnosis or any other type of medical advice.
• Acknowledges that coaching/training is another tool for teaching athletes/individuals about themselves, but Bend Adventure Boot Camps and Karleen Schonger does not guarantee neither good nor bad will occur, nor guarantees the training advice given by Bend Adventure Boot Camps and Karleen Schonger or its instructors will produce good nor bad results.
• 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.
• 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 and activities, that they are fit, and they have a regular medical physician they can contact regarding any medical problems that they might develop.
• Acknowledges that it is recommended to consult a physician prior to starting any health/fitness/nutrition program.
• Boot Camp client shall not, after completing boot camp, engage directly or indirectly, either personally or as an employee, associate partner, partner, manager, agent or otherwise, or by means of any corporate or other device, in the outdoor fitness or boot camp fitness business within Deschutes County.
• I understand there is no refund policy, but I can receive a credit (for unused portion of camp) towards a future camp if, for reasons beyond my control, I am not able to complete the one I originally joined. Camp fees cannot be used towards any other products or services provided by Karleen Schonger or Adventure Boot Camp.
• Make-up days: if you absolutely cannot make it to a session and are signed up for the 4 day option, a total equal to 1 day per week can be made up in the first week of the following camp. If you are signed up for the 3 days option you can make up any missed days during the camp by coming 4 days a week. If an emergency or injury arises, please contact Karleen Schonger ASAP. This will impact your overall results.

The undersigned expressly waive, release, discharge and agree not to sue from any liability of death, disability, personal injury, or action of any kind Bend Parks and Rec, The Indoor Soccer Center, Karleen Schonger, its instructors, officers, affiliates, and executors for the undersigned participating in said sporting events and/or training for said sporting events.

The Undersigned agrees that this is the full agreement between the parties, that neither representatives of Bend Adventure Boot Camps or Karleen Schonger nor anyone else has verbally contradicted any of the terms of this release and that the undersigned has entered into this agreement free and voluntarily without force or coercion .

PERFORMANCE PLEDGE
In the spirit of harnessing your best effort and providing optimum results from your Boot Camp experience, we have established the following policies to which you will need to adhere. Please read and initial each one.

I agree to be coachable/trainable during my time at boot camp in order to achieve my health and fitness goals.

I am making a commitment to my self to change my lifestyle for better health & self improvement.

I choose to commit to eating and drinking foods and beverages that will accelerate my success.

I commit to give 100% effort to my self at each class and the remaining 23 hours per day.

I commit to respect my coach and my peers by not talking while the coach is instructing. I understand that focusing on what the coach has to say and focusing on my exercise is vital to making boot camp safe and effective.

I agree to show up for boot camp every day, on time, unless it is an excused absence from my doctor or pre-approved with Boot Camp Directors. Unexcused absences are unacceptable and will result in less than excellent boot camp 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 any "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, for reasons beyond my control, I am not able to complete the one I originally joined. Camp fees cannot be used towards any other products or services provided by Karleen Schonger or 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!

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