REGISTRATION PROCEDURE

YOU MUST REGISTER ONLINE
BEFORE ATTENDING ANY CLASSES!

Fill out the online form below to register via internet. Click on Submit to go to the payment page.
Payment Page: Choose your package and Pay via Paypal (preferred method) using a credit card or existing PayPal account. A PayPal account is not required to pay via PayPal.

NOTE: Spaces fill quickly for this unique experience. We cannot guarantee your space until we have received payment.

IMPORTANT: Pre-registration is required for all classes. Please read & fill out carefully and sign waiver. Full payment is due with registration and before you commence any classes. Classes are subject to change or cancellation due to insufficient enrollment. Full refunds will be issued due to insufficient enrollment or cancellation by program director. All other refunds are credited toward future programs. In the event of extreme circumstances (to be determined by program director) any cash refunds will be given minus a $50 administration and handling fee.
Registration is open for men and women of all fitness levels. No one will be discriminated against or denied participation in this program. Pre-existing medical conditions MUST be listed on this form. Physician waivers to participate in an exercise program may be requested due to certain pre-existing conditions.

Waterfront Fitness, LLC. REGISTRATION FORM
ALL relevant fields MUST be filled out in order for your registration to be valid.
Personal Information
Name		Address
City		State / Zip code	-- AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VI VA WA WV WI WY  /
Profession		Country	United States United Kingdom Australia Canada France New Zealand India Brazil ---- Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana British Indian Ocean Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Republic of the Congo Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Finland Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles Nicaragua Niger Nigeria Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates U.S. Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe
Date of Birth	(mm/dd/yyyy)	Phone Number
Your Email Address		Work Number
Emergency Contact	NAME: PHONE:

Package and Payment Information
Choose your start Date?	First Select a Boot Camp Date *Required
Choose Location to attend?	Next Select a Location *Required
What time do you wish to attend?	Select a Time *Required
Choose your frequency:	Finally Select a Weekly Frequency *Required
Form of payment: (Paypal preferred)	Select Paypal Cash Check Other
Other: (Insert Promtion receipt # or other info)
NOTE: Encourage your friends to also purchase a package if you wish for them to train with you regularly. You may bring ONE(1) friend for free for ONE(1) session only.

Self Assessment & Additional Information
I rate my current fitness level as a (1-10), ten being high.	1 - Low 2 3 4 5 6 7 8 9 10 - High
I was referred by: (their email)   Click for Referral Policy Info
How did you hear about us? Please Specifiy: (optional)
Are you a current member at any other gym? (Yes/No):	Yes | No
Is this your first time doing Boot Camp or Outdoor Fitness?:	Yes | No
If you answered "No", when was the last camp you attended:
Your Main goal is?:
Are you training for a specific event? If yes, explain:

Medical History
(If you've already registered with us previously within the past 12months, only complete the sections that have changed, otherwise you MUST complete this section)
1. Are you allergic to any medication     (e.g. aspirin, penicillin, sulfa, etc.)?	Yes No
List Medications:
2. Do you take any prescribed medication on a permanent or semi-permanent basis?	Yes No
List Medications:
3. Do you have a seizure disorder (e.g. epilepsy)?	Yes No
4. Do you have diabetes Adult or Juvenile?	Yes No
List Medications:
5. Have you ever been anemic (low blood count)?	Yes No
6. Do you have High Blood Pressure (hypertension)?	Yes No
List Medications:
7. Do you have or ever had the following diseases?
Heart Disease:	Yes No
Lung Disease:	Yes No
Kidney Disease:	Yes No
Liver Disease:	Yes No
8. Do you have asthma?	Yes No
List Medications:
9. Have you ever had a severe neck injury?  Describe:
10. Have you ever been knocked out?  Describe:
11. Do you wear glasses or contact lenses?	Yes No
12. Have you broken or fractured a bone in the past 2 years?  Describe:
13. Have you ever injured your back?  Describe:
14. Do you have back pain?	Never Seldom Occasionally Frequently
15. Have you had knee pain in the past 2 years that has disabled you for longer than a week?  Describe:
16. Do you have other physical conditions which cause pain?  Describe:
17. Detail any surgical procedures:

Release & Liability Waiver
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 Waterfront Fitness, LLC., its officers, subsidiaries, affiliates, and executors in addition to the City of Portland, OR. The primary purpose of Waterfront Fitness, 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 Jason Bell & the Waterfront Fitness staff members which include but are not limited to: group fitness trainers, boot camp trainers, personal trainers and any other employee associated with Waterfront Fitness, LLC., are not physicians and are 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 Waterfront Fitness, LLC. does not guarantee neither good nor bad will occur nor guarantees the training advice given by Jason Bell & the Waterfront Fitness staff members as defined above in (1.) 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 and cease their involvement in all forms of exercise.
4. Acknowledges that boot camps, aerobic classes, martial arts, kick boxing, running, 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 related or un-related to Waterfront Fitness, 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 Waterfront Fitness, LLC. including Jason Bell 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 Waterfront Fitness, LLC. and all services provided by same. The undersigned agrees to refrain from disclosing, directly or indirectly, any and all aspects of Waterfront Fitness, LCC., Boot Camps and/or other forms of training classes including but not limited to Group Fitness classes, Boot Camps & Personal Training. The undersigned agrees to a non-compete within a 50 mile radius of Portland for a period of 3 years from date of participation.
Checkmark the following:
	I agree not to use foul language during any form of Group Fitness classes or Boot Camps. Any violation will result in twenty push-ups.
	I agree to show up “on-time” every day unless it is an excused absence from my doctor or pre-approved with Waterfront Fitness staff. I will not use “my alarm didnt go off” as an excuse.
	I understand that photos or video may be taken during the course of my involvement in Waterfront Fitness Boot Camps or Group Fitness classes. These photos may be used for promotional purposes. I understand that if I choose to undertake "before & after" photos, they 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 portions of classes) towards a future class package if I'm not able to complete the one I originally joined due to unforeseen circumstances. Any Boot Camp or Group Fitness credits can not be used towards any other products or services provided by Waterfront Fitness, LLC.
	I understand that diet and nutrition will effect my fitness goals and performance during boot camp. Any nutritional advice necessary should be gained in your own time, through a qualified nutritionist or health expert. We can give some advice but not medical advice.
	I agree not to eat unhealthy foods or mention foods like: Twinkies, Donuts or Deep Fried Chicken during the course of Boot Camp. Violations will result in twenty push-ups.
	I will encourage other Boot Camp patrons as much as possible.
	I will always bring a positive attitude, and both expect to; and be willing to have fun!

Agreement and Signature

I agree to all Terms and Conditions listed above

Electronic Signature (PRINT YOUR NAME)

Date (MM/DD/YYYY)

(Please Only Click Once)

Exercise; a medicine for creating change in a person's physical, emotional, and mental wellness... No matter who you are, no matter what you do, you absolutely, positively do have the power to transfrom....

How to attend a Boot Camp / Group Fitness class

Before attending any class you must register yourself with us by completing the Online Registration Form.

Registration Procedure: 

1. Complete the online form entirely, making sure to carefully answer all questions and sign the waiver.
2. If you have any questions before registering, Please send us an email to: info@waterfrontfitness.com
3. Once you submit your registration form you will be taken to the payment options page where you can purchase your package online right away using our secure payment methods or pay on the day using cash only. (Online payment is preferred option and will help gaurentee your spot in the class)
4. Print and save receipt, this is your proof of purchase. We will also have a list of all registered members
5. Now you can attend ANY boot camp / class at the location of your choice.
   Refer to Locations & Schedules for a Calendar of class times.
6. CLICK HERE TO BE TAKEN TO THE REGISTRATION PAGE

 How to Participate:

1. If you're already registered, present your 'Purchase Receipt' at the "check-in/meeting" location
2. Show up 10mins early on your first day and introduce yourself.
3. Late arrivals may not enter after the 10min warm-up has been completed, unless there is prior arrangements.
4. Participation is not permitted without completing the required Pre-Activity Readiness Questionaire.
5. Participation is not permitted if no payment has been received for the desired class.

Refunds/Cancellation/Credits:

No refunds will be given for purchased packages. We believe that once you have decided to make the committment in order to get fit and healthy it is upto us to hold you to that committment. We would hate to see any individual make a regretful decision to leave us so we've simply eliminated this option for you.

Where ever a pre-class sign up is required Participants are able to withdraw with atleast 48hrs notice of the scheduled start date and will not forfeit any sessions. However if you have pre-signed up to attend a given class and do not show and/or have not given the required 48hrs prior notice you will be subject to forfeit that session. This is due to the fact that some classes may be size limited and if you are unable to attend then we would like to have the opportunity to be able to fill your position in the class with somebody else. No credit will be given to persons who withdraw from pre-sign up classes on day of or after the scheduled start date.

Group Exercise FREE TRIAL Class Policy:

Individuals may attend ONE(1) group exercise class for FREE. Free Trial passes may be obtained by first registering just the same way as everybody else (procedure explained above), but instead of purchasing a package at the Payment page, simply email us instead and let us know which class you would like to attend. Clients that obtain a FREE TRIAL pass and decide to upgrade to any of our Standard Pricing Boot Camp or Group Exercise package options in the same week as their trial will receive a FREE pair of Boxing Gloves as a special welcome gift.