PFLUGERVILLE-REGISTRATION

First and Last name

Your email address:

Confirm email:

Your Mailing address:

City:

Zip code

Phone number:

Date of Birth

Approximate height

Approximate weight

Current fitness level

FROM 1-10 WITH 10 BEING THE HIGHEST

List current fitness
activities and goals

Referred By:

Promotion Code:

EMERGENCY CONTACT
NAME/RELATIONSHIP

EMERGENCY CONTACT
NUMBERS

Please check package below:

BOOTCAMP 3 DAYS PER WEEK
12 SESSIONS TOTAL

PLEASE NOTE:
All fees are payable in full prior to participation in the bootcamp. You may enlist after a camp has begun,
but C.O.R.E.FIT DOES NOT PRO-RATE PARTIAL MONTHS
The classes are currently offered Monday, Wednesday and Friday mornings from 5 am to 6 am.

Terms and Conditions. Please read carefully.

WAIVER OF LIABILITY

As a participant in this program, you represent that you have no congenital physical or mental health problems that will preclude participation in the services provided by Stephanie O'Rourke or C.O.R.E.FIT Bootcamps and Personal Training for Women.  Specifically you represent that you have no underlying cardiovascular, neurological, orthopedic or any other illness that will preclude participaton in any training program.  You assume risk with any/all of the fitness programs specified under this agreement provided by C.O.R.E.FIT Bootcamps and Personal Training for Women.

You also acknowledge that boot camps, cardiovascular, kick boxing, running, resistance training, timed events, obstacle course,and any other related sports activities 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.  You also understand the risks of participating in these types of events/activities, you are healthy enough to participate, and you have a regular medical physician that you can contact regarding any medical problems that you might develop.  You expressly waive, release, discharge and agree not to sue (from any liability of death, disability, personal injury, or action of any kind) C.O.R.E.FIT Bootcamps and Persoanl Training for Women and Stephanie O'Rourke, her assistants/instructors or any other guest acting on behalf of C.O.R.E.FIT Bootcamps and Personal Training for Women.

MISSED DAYS/ABSENCES
You may NOT transfer your missed days to anyone else.  You may not pro-rate any monthly fees because of missed days.  Payments are due in full no matter how many days you miss or are unable to attend.

LATE CHARGES/FEES FOR RETURNED OR INSUFFICIENT FUNDS
If C.O.R.E.FIT Bootcamps and Personal Training for Women receives a payment more than 5 days after the due date, you will be charged $25.00.  If any payment under this agreement is returned, you will be charged $10.00 returned item fee for checks and $25.00 for any credit card payments that are not honored.

TRANSFERS/CHANGES
Once enlisted in a course, you must complete the entire agreement/course before switching to a different course length.  You may NOT transfer your boot camp of any length to another person.

REFUNDS/CANCELLATION
There are NO REFUNDS.  If you have to cancel this agreement, for any reason (sick, injury, family emergency, work changes, etc.) and are only signed up for one course (month) - you still owe any remaining balance by the last day of bootcamp. If you pay by check or cash, you will still be responsible to either mail, or hand-deliver any remaining balance to Stephanie O'Rourke.  If you pay by credit card or paypal account, you will automatically be billed.  If you are signed up for multiple courses (months) and you have to terminate this contract completely, you will be back billed the difference between the discounted rate and the amount of the courses you actually completed.  If you have paid a deposit and are not able to start on the date requested, you may apply that deposit to another bootcamp and have up to two bootcamps to use said deposit.  If you are unable to attend within that new time frame, you forfeit your deposit.
If you choose to make a donation of any amount, you agree that it is to be used by Stephanie O'Rourke and C.O.R.E.FIT Bootcamps and Personal Training for Women in whatever way C.O.R.E.FIT deem fit for the betterment of the program.

Once registration process is complete, click on submit
below to be sent to the confirmation page, where you
can choose your method of payment: Cash, check
made out to C.O.R.E.FIT TRAINING, or pay online
with a credit card or PAYPAL account. Cash or checks
must be received prior to participation in the camps.
PLEASE CHECK METHOD OF PAYMENT BELOW
PRIOR TO SUBMITTING:

I AM PAYING ONLINE

I AM PAYING BY CASH OR CHECK

CLICK HERE TO SUBMIT
REGISTRATION ONLY (IF PAYING
BY CASH OR CHECK)

CLICK HERE TO SUBMIT ONLINE
PAYMENT AND REGISTRATION

IMPORTANT INFORMATION

Once we have received this Health History/Registration form and payment, your spot has been successfully
reserved. Voluntary evaluations which involves weight/body fat % and measurements are held the weekend prior to
the start date and is included in the price of your Boot Camp - An email will go out a week prior to the new
month to schedule a appointment. This form must be submitted PRIOR to participation in Boot Camp.