| 1. First Name: * |
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| 2. Last Name: * |
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ONLY COMPLETE 3-10 IF YOUR INFORMATION HAS CHANGED
3. Address Street 1: |
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Please check mark the following:
I understand that there is a no refund policy and there is no credit for missed classes, although I can request credit towards future Niki G Fitness Boot Camps should I become unable to complete my current program. |
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| I understand that it is best to consult a Doctor before beginning any fitness program and that I will be required to sign an Informed Consent, Waiver, and Release Agreement the first day of camp. |
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| I am serious about changing my current fitness level for the better and agree to get up on time for camp and do everything possible to attend everyday I signed up for and to get the full hour of exercise I commited to. |
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I understand that photos and/or videos may be taken of me
participating in Niki G Fitness Boot Camps to be used for promotional purposes. |
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| Which days and times are you signing up for?: * |
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| How is Niki G's Fitness Boot Camp different from other exercise programs or facilities you have tried before? |
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| Why did you decide to sign up for Boot Camp again this month? |
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THE Complete Personal Fitness Program for Women CLIENT LOG-IN