Core In Action Outdoor Bootcamp - Trial Class Registration

Trial Class Registration

Please fill out the following information

Name:
Home Phone:
Cell Phone:
E-Mail:
Address:
Date Attending:
Time Attending:	6AM 9:15AM 10:30AM

Waiver:	I understand and acknowledge: (a) that these activities, by their very nature, pose the potential risk of serious injury/illness to individuals who participate, (b) that in order to participate in these activities, I agree to assume liability and responsibility for any and all potential risks which may be associated with participation in such activities, (c) Core In Action Bootcamp,Nancy Murray, shall not be liable for any injury/illness suffered by me which is incident to and/or associated with preparing for and/or participating in the activity(ies), (d) that photos and/or videos of me participating in these activities may be taken for the sole purpose of assisting in the instruction and/or for the promotion of future programs. I have no known medical condition which may pose a risk to the health and safety of me or others by participating in the activity (es).

Gift Certificates Available!