Austin Boot Camp Sign Up | Resurgence Health and Fitness

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512-656-2626 or
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If you have already participated in a class, login and save some time filling out this form.

If you are signing up for the first time, you will be creating a user account so you can conveniently track your bootcamps.

By signing in, you can see which bootcamps you have attended, and which bootcamps you are attending.

Class/Location*

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Last Name*

Email*

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Password

Password Confirmation

Age*

Address

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Emergency Contact Name

Emergency Contact Number

Bootcamp Partners

Fitness Goals

Physical Limitations / Medication

The PARTICIPANT acknowledges that any program of fitness exercise involves risk of injury.

The PARTICIPANT represents that he/she has been recently examined by a medical doctor and has been found able to undertake a program of fitness exercise.

For and in consideration of the participation in any Resurgence Boot Camp or Classes, the PARTICIPANT agrees that:

any exercise program shall be undertaken by me at my sole risk; and
Resurgence Health and Fitness Inc., and/or Kenneth Bobo shall not be held liable to me, nor any other person, for any claims or causes of action whatsoever arising out of or connected with the services of Resurgence Health and Fitness. And, I hereby release and discharge Resurgence Health and Fitness, and all associated employees/contractors from any such claims or actions.

I agree to the terms above

Important: You will be directed to Paypal's secure payment system to complete your payment. When you are finished you will be returned to resurgencefitness.com to confirm your payment.

Resurgence Health and Fitness Austin Boot Camp

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