Thankyou For Buying Summer Shredding 2020

Name *

First

Last

Address

Address Line 1

City

State

Date of Birth *

Phone *

Email *

Past and Current Injuries

Please list any past injuries, areas of tightness, chronic pain and any specific sensitivities to any exercises. [Examples: low back pain, my knee hurts when I squat, my shoulders are always sore, etc.]

Medical Conditions and Medications

Please list any medical conditions and medications you may currently be taking. [Examples: Heart troubles, suffered from pain in your heart or chest that are brought on by exercise, high blood pressure, diabetes, asthma, flu, etc.]

Current Fitness Level

Please indicate your current fitness and activity level and how much exercise you’ve done recently. [Examples: Fitness... what’s that?!? Typing on my computer at my desk, walk regularly, active job, workout regularly, athlete, etc.]

Current Nutrition and Hydration *

Adequate nutrition and hydration is crucial to maintaining your energy level during your workout and avoiding fatigue, lightheadedness and fainting. Likewise, overeating prior to a work out can cause upset stomach and vomiting with intense exercise. I commit to notify my trainer if I am unsure about whether I have eaten enough prior to working out or if I have eaten a large meal in the past two hours.

Current Training Knowledge *

By participating in this class I commit to ask for instruction on any exercise I am not familiar with. I acknowledge that this is important to avoid injury. [You can’t make progress if you are hurt!] I commit to notify my trainer if I do not know how to do something.

Note *

Start slowly. Bootcamps can be intense, especially if you push yourself. Be sure to take it easy at the start and work your way up to more intense exercise. This is especially important if you used to be sedentary. I commit to work at a pace that is safe for me and with in my current limits and notifying my trainer if I feel unwell.

Photo and Video Waiver *

By attending this class, I give Kamel Dickinson and any partners permission to post, tag photos and videos containing my image on their website, Facebook, Instagram, Twitter, YouTube, other social media and in print and video for promotional and marketing purposes.