Ventura County Boot Camp- Thousand Oaks Camp Re-Enlistment Form

Thank you for registering for another Ventura Adventure Boot Camp. We appreciate your return business!! Please make sure to share your goals and concerns with us so we can continue to coach you most effectively in your fitness progression. Also, please make sure to fill out our new Camp Evaluation form so we can continue to evolve the program while meeting your needs and interests!!

Please submit the form below to complete your registration process. You will receive a receipt by email. If you prefer to complete the form offline, please download our Re-enlistment Registration Form and fax it to us.

Ventura County Adventure Boot Camp
Thousand Oaks Location Re-Enlistment Registration Form

In order to use this form, each statement below must be true. If even one is not, then you must submit a new enlistment form. Please select each radio button to affirm your agreement to the statement..
I have attended a Ventura Adventure Boot Camp within the past six (6) months.
My personal contact information (phone, email, etc) is unchanged from my original registration.
My emergency contact information, medical history, and medical status are unchanged.

Should any of these statements be untrue, then you will need to fill out a complete new registration form; otherwise, your original agreements on file, are still binding.

I am signing up for the following camp: CONEJO VALLEY CAMP LOCATION - Thousand Oaks/Newbury Park

First Name Last Name

Date of Birth:

My Last Camp Was:

I honestly self rate my Boot Camp fitness progression level as: (required)

LEVEL 1 - I am stronger but I am still developing exercise form, core strength, and endurance; or I have contraindications that limit me. I feel I am still at "new camper" levels and not quite ready for "repeat camper" repetitions.... maybe next camp! ;-)

LEVEL 2 - I have learned and keep sound form mechanics, my core is strong enough that I can hold plank (without modifications) for at least 60 seconds and I am ready to increase the challenge and my intensity through increased reps, intermediate position modifications, and extended cardio challenges.

LEVEL 3 - I am solid in all form protocols, I have no contraindications and I feel I am ready for the maximum Boot Camp challenge by using advanced positions and moves. Bring it on! Hoo-Rah!

Payment Options (select one)

	I will secure my spot NOW by paying online using PAYPAL
	I will mail a check or money order. (make payable to True North Fitness)
	I will fax a Credit Card Authorization form.
	Please charge my CC you have on file

THE FOLLOWING OPTIONS REQUIRE YOU TO CALL OUR OFFICE TO FINALIZE YOUR PAYMENT DETAILS:

	I have a gift certificate to apply & will call in to activate it
	-or - I have a credit / coupon to apply & will call in to arrange my payment details. It is for:
	Perfect Attendance Award
	Referrals Credits
	My Annual "Healthy Living" Award
	Other

Attendance Options for (must select one): All programs are 4 weeks @ 1 hr/day .
	5 Days a week (M - F), $329
	3 Days a week (M, W, F), $229
	3 Days a week (Tu, Th, F), $229

Please let us know your PreCamp Assessment Plans:
	I want to know my physical changes and can be at the Group Assessment Meeting on Saturday .
	I want to know my physical changes and would like to schedule a private 20 minute meeting ($35 additional charge) .
	I will not be participating in a camp assessment this camp.

Improve your results with Program Enhancement Options (additional cost)

I will be signing up for a nutrition coaching.

I will be signing up for peak performance coaching.

I will not be adding an enhancement option to my basic boot camp program.
I will be at the group orientation.

The best times and days to reach me for scheduling my my enhancement program evaluation are:

NOTE: ADD-ON PACKAGES PROVIDE ADDITIONAL SUPPORT AND ONE-ON-ONE MEETINGS. WE WILL ATTEMPT TO CONTACT YOU TO ARRANGE YOUR PRECAMP MEETING; HOWEVER, IF YOU ARE SELECTING AN ADD-ON PROGRAM ALONG WITH YOUR BASIC BOOT CAMP, THEN IT IS YOUR RESPONSIBILITY TO MAKE SURE WE MEET A WEEK OR TWO PRIOR TO YOUR CAMP START DATE. YOU WILL NEED TO CALL OR E-MAIL OUR OFFICE TO MAKE SURE WE SET UP YOUR PRE-CAMP ASSESSMENT.

» Nutrition clients need an additional 75 minute consult	[ total 90 minute consult ]
» Performance clients need an additional 45 minute consult	[ total 75 minute consult ]
» Optimum results clients need an additional 90 minute consult	[ total 105 minute consult ]

Fitness Goals

1.	My main fitness goal is:
2.	My fitness goal this camp is:
3.	My goals for the next three months:

Performance Pledge

In the spirit of harnessing your best effort and optimizing your results from Adventure BootCamp (as stated in the "What you can Expect" statistics), we have established the following personal performance pledges. This agreement is to yourself. Your greatest results will be reached by following these edicts. Your choice to break any performance promises is breaking a promise to yourself, moves you away from your stated goals, and WILL result in other than best results. In excessive cases, it will cause other than favorable results.

If you have genuine concern about being able to follow any of these promises, please contact us for additional lifestyle coaching services so we can supplement your program and work together to optimize your efforts!!

You will need to read and check your agreement to each pledge promise to join us in Boot Camp.

I agree that I will abstain from [not consume] alcohol during my Boot Camp period.

I agree to abstain from the use of foul language during Boot Camp.

I agree to abstain from eating or speaking the words Twinkie, Donuts, Cookies, potato chips, Brownie, Ho-Ho's, Ding Dong, or Cake during the course of Boot Camp.

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.

I will arrive at camp ON TIME. [I will set 4 or more alarms as necessary to ensure.]

(Any violation of the above statements 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 and I provide my release for same. 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 my 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. I understand that absences cannot be recouped or made up. Camp credits may not be used towards any other products or services provided by True North Pioneering, Inc.

I understand that I may only attend the class I am registered in

I will follow proper dietary practices as explained by the VABC instructors.

I have read and fully accept the Ventura Adventure Boot Camp Program Policies and Guidelines .

We advise seeking your doctor’s advice BEFORE beginning or increasing the
intensity of any health/fitness/nutrition program!

Your signature will be required at the time of your evaluation and you agree to the terms now!

By submitting this form, you are agreeing to all the above!

After submitting your registration you will be redirected for ONLINE PAYMENT.

NOTE: Your registration will be confirmed only after receipt of payment. Space is limited, so please submit your payment immediately.

If paying by check, please make checks payable to True North Fitness, and mail it to:

Ventura County Adventure Boot Camp
6019-D Olivas Park Drive
Ventura, CA 93001


	www.VenturaBootCamp.com Copyright 2005 True North Pioneering, Ventura, California •

Ventura County Boot Camp- Thousand Oaks Camp Re-Enlistment Form

Ventura County Adventure Boot Camp Thousand Oaks Location Re-Enlistment Registration Form

Fitness Goals

Performance Pledge

Ventura County Adventure Boot Camp
Thousand Oaks Location Re-Enlistment Registration Form