Return Camper Registration

Please note: All fields are required.

Camp and Payment Information

What camp are you joining?

Fat Free Fall: September 18 - October 13, 2017
Run off the Reese's: October 23 - November 17, 2017

Please select your camp frequency, time and cost:
Morning sessions:
20 workouts at 5 days/week: 5:30 a.m. to 6:15 a.m. (Mon-Fri): $250
12 workouts at 3 days/week: 5:30 a.m. to 6:15 a.m. (Mon/Wed/Fri: $179)
8 workouts at days/week: 5:30 a.m. to 6:15 a.m. (Tue/Thurs: $129)

Evening sessions:
8 workouts at 2 nights/week: 5:30 p.m. to 6:15 p.m. (Mon/Wed): $149

Form of payment:

Personal Information






Self Assessment & Additional Information

I rate my current fitness level as: (1-10):

Is this your first adventure boot camp:





Release
NOTICE It is wise to seek your doctors advice before beginning any health/fitness/nutrition program!

This release is entered into between the undersigned and Adventure Boot Camp, LLC, its officers, subsidiaries, affiliates, and executors in addition to the City of Worcester. The purpose of Adventure Boot Camp, LLC is to provide fitness instruction and coaching for various levels of athletes/individuals.

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

1. Acknowledges that Alexis Rougas-Ermilio is not a physician and is not trained in any way to provide medical diagnosis, medical treatment, or any other type of medical advice.

2. Acknowledges that coaching/training is another tool for teaching athletes/individuals about themselves, but that Adventure Boot Camp, LLC does not guarantee neither good nor bad will occur nor guarantees the training advice given by Alexis Rougas-Ermilio including Adventure Boot Camp, LLC will produce good nor bad results.

3. 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.

4. 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/activities including the elements of a natural environment, that they are fit, and they have a regular medical physician they can contact regarding any medical problems that they might develop. The undersigned expressly waive, release, discharge and agree not to sue from any liability of death, disability, personal injury, or action of any kind Adventure Boot Camp, LLC 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 Adventure Boot Camp, LLC including Alexis Rougas-Ermilio nor anyone else has not 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.

Customer client agrees to confidentiality with respect to Adventure Boot Camp, LLC and all services provided by same. The undersigned agrees to refrain from disclosing, directly or indirectly, any and all aspects of Adventure Boot Camp, LLC. The undersigned agrees to a non-compete within a 50 mile radius of Worcester for a period of 5 years from date of participation.

Agree to the following:
I agree not to use foul language during Boot Camp. Any violation will result in twenty push-ups per occurrence.
I agree not to eat or say the words Twinkie, Donuts, Ho-Ho's, Ding Dong, or Cup Cake during the course of Boot Camp. Any violation will result in twenty push-ups per occurrence.
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. Any violation will result in twenty push-ups per occurrence.
I understand there is no refund policy, but I may receive a credit (for unused portion of camp) towards a future camp if, for reasons beyond my control, I'm not able to complete the one I originally joined. If I expect to receive a credit, I must inform Capital District Fitness, LLC/Albany County Adventure Boot Camp in writing at least 24 hours prior to missing camp. Camp fees can not be used towards any other products or services provided by Capital District Fitness, LLC or Albany County Adventure Boot Camp.
I understand there is a no refund policy, but I can receive a credit (for unused portion of camp) towards a future camp if I'm not able to complete the one I originally joined. Camp fees can not be used towards any other products or services provided by Adventure Boot Camp. There is a $20 fee for returned checks.
I will remember to set my alarm and be at camp on time and agree to show up for Boot Camp every day that I have registered for.
I understand that diet and nutrition will affect my fitness goals and performance during boot camp so I commit to eating clean foods and beverages that will accelerate my success. I agree to give 100% effort to my coach and myself at each class and I commit to myself to change my lifestyle for better health and fitness.
I will bring a positive attitude, and expect to have fun

I agree to all Terms and Conditions: