enroll

WELCOME TO The Fitness Camp's secure Enrollment Center. Please use this form to enroll and pay by credit card. Complete all requested information and click "Submit" at the bottom.

First Name *

Last Name *

Address1 *

Address2

City *

State *

Zipcode *

Email *

Confirm Email *

Home Phone *

Work Phone *

Emergency Contact *

Emergency Phone *

Birth Date *

My current fitness is (1-5, 5 being highest):

I heard about The Fitness Camp from:

ENROLLMENT CHOICE FOR AUGUST 2 - 27 (4 WEEKS)

The Fitness Camp limits enrollment to facilitate personal attention. "Sold Out" class times are available through our Waiting List Policy. Please CLICK HERE to learn more about our Waiting List Policy.

CLASS TIMES (ALL CLASSES ARE 45 MINUTES):

M-T-W-Th-F Mornings @ 5:30AM
M-T-W-Th-F Mornings @ 6:15AM
M-T-W-Th-F Evenings @ 5:30PM
M-T-W-Th-F Evenings @ 6:15PM

Beginning MONDAY, AUGUST 2, I am enrolling in: *

Promotion Code

Joining with a friend? Enter friend's name:

PRELIMINARY MEDICAL HISTORY & FITNESS GOALS

This is simply a brief medical history, so we know a little about you. Our medical staff will review your history and contact you with any necessary questions. NOTE: The Fitness Camp is a vigorous exercise program. It is always wise to consult your healthcare provider before engaging in any exercise program.

Medical History

I have had a heart attack or have other heart issues/difficulties

I have musculoskeletal problems

I have concerns about the safety of exercise

I take prescription medication(s)

I am pregnant

When exercising, I experience chest discomfort, dizziness, etc.

I currently smoke

I have high blood pressure or take blood pressure medication

I am diabetic or take medicine to control my blood sugar

I am physically inactive (ty at least 3 days/week)

I am more than 20 pounds (9 kg) overweight

None of the above is true

Fitness Goals

I want to lose weight

I want to get in shape

I want to learn new exercises

I am bored with the gym and need a boost

I want to become stronger

I am rehabilitating an injury

I am an athlete and want off-season variety

I need a better fitness base for other sports (tennis, softball, etc.)

I am training for an upcoming sports season (football, triathlon, etc.)

I want to exercise outdoors

Other

CREDIT CARD INFORMATION

This enrollment form is secure, and your credit card information is not stored or saved within our system. Please provide credit card information below.

I will be paying with:

Card Number: *

Exp. Date: *

CVC/Security Code*: *

Name on Card: *

THE FINE PRINT

If you find you cannot attend The Fitness Camp prior to camp Orientation, you will receive a full refund (minus a $20 processing fee). If you find you cannot attend The Fitness Camp during your four-week camp, you will receive your choice of 1) a refund (minus a $20 processing fee) for the days remaining in the camp, or 2) equivalent credit toward a subsequent session of The Fitness Camp.

The Fitness Camp's medical staff will review your medical history and may have questions regarding your responses, prior to reserving your place in camp and charging your credit card. Upon acceptance to The Fitness Camp, your credit card will be charged and you will receive an electronic receipt of the credit card transaction for your records.

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