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10:30 - 12:30 every Sunday, Starting May 1st 2011


Athlete's Information

Male  Female

Last Name: First Name:
Address: City:
State: Zip:
Home Phone: E-Mail:
Date of Birth: Age: (15yrs or greater)
Emergency Contact      
Name: Phone Number:
Cell Phone: Work Phone:

Personal Medical Information

Physician's Name:
Physician's Phone:
Medical Problems/Information:


By checking this box before submitting the form,  I, intending to be legally bound, and recognizing the danger involved in physical exercise, do agree as follows:

Y ITS NATURE, PARTICIPATION IN ATHLETICS INCLUDES A RISK OF INJURYAlthough serious injuries are not common in supervised camp athletic programs, it is impossible to eliminate this risk.  Participants can, and have the responsibility to, help reduce the chance of injury. PARTICIPANTS MUST OBEY ALL SAFETY RULES AND REPORT ALL PHYSICAL PROBLEMS TO THEIR COACHES.  TODAY! Fitness does not screen applicants for illness, injury, allergies or other medical conditions that would prevent or limit the participation by the applicant in athletics or outdoor programs. It is the responsibility of the parents, guardians or participants to determine his or her fitness to participate in athletics or outdoor programs. I acknowledge that I have read and understand the above warning. I acknowledge that I do not know of any medical condition that would prevent or limit the participation of this applicant in athletics or outdoor programs. I, on my own behalf and on behalf of this applicant, hereby release TODAY! Fitness, its employees, agents, and representatives, from any financial responsibility or liability arising from injury to this applicant in connection with his or her participation in the pre-season boot camp, including injury resulting from negligence (other than gross negligence) of employees, agents or other representatives of TODAY! Fitness.

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