Front Range Fitness for Women is a health and fitness company that produces significant results for its clients in accordance with client’s goals and objectives

REGISTRATION FORM - Front Range Fitness for Women

Name *

Date *

Street address *

City *

State *

ZIP *

Profession *

Date of Birth *

Best contact # *

Email address

I rate my current fitness level as a * 🛈

How Did You Hear About Us? *

Emergency Contact *

Relation *

Phone Number *

Physician *

Phone Number *

Class time(s) you are registering for: *

Program Registering For: * 🛈

Unlimited Classes - Best Value! - $160 per month (3x/week $13.33 or as low as $6.67 per class)*

20 Class Punch - $315 ($15.75/class - expires in 6 months

10 Class Punch - $175 ($17.50/class - expires in 3 months

Single Class - $20

Unlimited Paid in Full - $1600 (2 months free!)

Full-time School Teachers - 20% off all memberships!

Method of Payment: *

Check

Cash

Credit Card

Credit Card Type

Name on Card

Credit Card Number

Expiration Date (mm/yy)

CVC

On a scale of 1-10 (10 being highest) how READY are you to improve your quality of life by becoming more fit? *

	1	2	3	4	5	6	7	8	9	10
Rate your READINESS	1	2	3	4	5	6	7	8	9	10

What are your top 2 fitness, performance, body or health goals? Please be SPECIFIC. *

	-
1.	-
2.	-

Why are these goals important to you? *

Imagine that you have reached your goals. In what ways would your life be different than it is now? *

RECREATIONAL

1. What recreational activities do you participate in? *

2. What are your hobbies? *

MEDICAL HISTORY

1. Are you allergic to any medication (aspirin, penicillin, etc.)? *

2. Do you take any medication on a permanent or semi-permanent basis? *

Yes

No

Please List *

3. Has a medical doctor ever diagnosed you with a chronic disease, such as coronary heart disease, coronary artery disease, hypertension (high blood pressure), high cholesterol, or diabetes? *

Yes

No

If Yes, please explain *

4. Have you ever had any pain or injuries? (ankle, knee, hip, back, shoulder, etc) *

Yes

No

Describe *

5. Do you currently have any physical limitations due to this pain/injury? *

Yes

No

Describe *

6. Do you wear glasses or contact lenses? *

Yes

No

7. Have you had a broken bone or fracture in the past 2 years? *

Yes

No

Describe *

8. Have you ever had any surgeries? *

Yes

No

Explain *

9. Are you experiencing any physical limitations at this time? *

Yes

No

Explain *

10. Do you have any other medical issues we need to know about? *

Yes

No

Explain *

RELEASE
ASSUMPTION OF RISK, WAIVER AND RELEASE OF LIABILITY
FrontRangeBootCamp, LLC dba Front Range Fitness for Women (referred to as "Front Range" below) and Robyn Morrisette

This Assumption of Risk, Waiver and Release of Liability ("Release Agreement") is intended to be, and is, legally binding. You and/or the person on whose behalf you are signing this Release Agreement are waiving important rights including the right to bring any type of action, whether in court or otherwise, to recover compensation or obtain any other remedy for any personal injuries, any accident or incident of any type, or death, arising out of or related to your participation in any activities with Front Range, whether your participation is supervised or unsupervised, either inside or outside of the Front Range facility including, but not limited to, the public park(s) used during certain months of the year.

If any aspect of this Release Agreement is unclear to you, please consult with your attorney prior to signing. If you disagree with any aspect of this Release Agreement please do not participate in any activities with Front Range. By signing this Release Agreement, you agree you fully understand and agree to this Release Agreement and that you are bound by the terms of this Release Agreement.

You are urged to obtain a physical examination from your physician before beginning any exercise or training program. Front Range has not and will not give you any medical advice. If you have any health concerns now or after you join, you agree you will discuss them with your physician before you attend any Front Range activities.

Physical activity and exercise can be strenuous and can subject you to risk of serious bodily injury or death resulting from, among other things, over-stressing your body, falling off of equipment, bodily impact on any surface, entanglement, and/or cuts or abrasions, or from any cause whatsoever including, but not limited to, the failure of any equipment or the negligence of Robyn Morrisette, any agent, contractor or employee of Front Range, other participants in the activity, visitors, observers or other persons who may be present in or around the activities or equipment.

1. I hereby agree that I am voluntarily engaging in all activities undertaken with Front Range and use of equipment at Front Range’s facility and that by using any amenities and equipment at Front Range’s facility and any off-site locations, my participation in any activity, my following any recommendations of Front Range, and my presence at Front Range’s facility, I am doing so entirely at my own risk and I assume that risk.

Please initial *

2. In consideration of my being allowed to participate in any activities offered by Front Range, whether at Front Range’s facility or any off-site location, any use of Front Range’s equipment, following any recommendations coming out of any of the foregoing, and my presence at Front Range’s facility, I hereby agree on behalf of myself and anyone acting on my behalf, my spouse, parents, children, siblings, next-of-kin, heirs and representatives: (a) to waive, release, hold harmless and forever discharge Robyn Morrisette and Front Range and their respective managers, members, owners, officers, agents, employees, independent contractors, heirs, beneficiaries, insurers, and all others acting on their behalf (each a "Releasee" and together the "Releasees") from any and all claims, demands for loss, damages, injuries or other causes of action whatsoever, including those caused by the negligent act or omission of any Releasee or in any way arising out of or connected with my participation in activities held at, offered by and/or directed by Robyn Morrisette or Front Range; and (b) not to sue or otherwise make any claim on account of any illness, injury, damage or loss whatsoever that I experience. I intend this waiver, release and discharge to be effective even if the illness, injury, damage or loss results from the negligence of any person. I hereby voluntarily give up any right that I may otherwise have to bring any legal action against Robyn Morrisette, Front Range and their respective managers, members, owners, officers, agents, employees, independent contractors, heirs and beneficiaries for any personal injury (including death) or property damage or loss even if it was the result of the negligence of any person.

Please initial *

3. I agree if I or anyone on my behalf, or my spouse, parents, children, siblings, next-of-kin, heirs or representatives files a lawsuit or otherwise makes a claim or demand against any Releasee, I will indemnify the Releasee and pay all damages, judgments or amounts, expenses (including attorneys' and expert witness fees' incurred by Releasee related to such lawsuit or claim.

Please initial *

4. I do hereby declare myself to be physically and mentally sound and suffering from no condition, impairment, disease, infirmity, or other illness that would prevent my participation in physical activities or use of equipment. I acknowledge that either I have had a physical examination and been given my physician’s permission to participate, or that I have chosen to participate in the activities offered by Front Range without consulting my physician. Regardless of whether I have my physician’s permission, I hereby assume all risks and responsibility for my participation and activities, and use of any and all equipment in my activities.

Please initial *

5. I understand I am not obligated to perform or participate in any activity that I do not wish to do and that it is my right to refuse such participation at any time. I understand that it is my obligation to stop and inform my Coach if I start to feel lightheaded, faint, dizzy, nauseated, experience any pain or discomfort or just feel weird for any reason.

Please initial *

6. I understand that it is my responsibility to notify my Coach of any conditions or changes in my health now and on-going, which might affect my ability to exercise safely and with minimal risk of injury.

Please initial *

7. I understand that the results of a fitness program cannot be guaranteed and my progress depends on my effort and cooperation in and outside of the Front Range activities.

Please initial *

8. I understand that photos and/or videos may be taken of me during the activities at Front Range. I agree that Front Range may use my likeness in such photos and videos for promotional purposes with no obligation to compensate me for such use. In the event that I decide I do not want Front Range to use these items for said purpose, I agree that I will inform Front Range of this in writing and Front Range will have thirty (30) days to discontinue its use of such photos and videos. However, Front Range will not have any obligation to discontinue use with respect to any photos or videos that are not in the possession or under the control of Front Range Fitness for Women.

Please initial *

9. You and/or the person on whose behalf you are signing are acknowledging that you are client(s) of Front Range Fitness for Women and shall defend, indemnify and hold harmless Heritage Investment Properties (Landlord), its managing members, members, partners, sub partners and their respective officers, agents, servants, employees from and against claims, damages, losses and expenses, including, but not limited to, attorney’s fees, provided that such claim, damage, loss or expense is attributable to bodily injury, sickness, disease or death, or to injury to or destruction of tangible property including loss of use resulting there from, but only to the extent caused in whole or in part by negligent acts or omissions of Tenant, or anyone directly or indirectly employed by them or anyone for whose acts they may be liable, regardless of whether or not such claim, damage, loss or expense is caused in part by a party indemnified hereunder.

Please initial *

FOR MINORS ONLY. With respect to any minor child, I warrant that I am the parent or guardian of the minor child and that I have the authority to decide in which activities the child will participate. By signing below, I consent to the child participating in activities with Front Range and acknowledge that by signing below, both the child and I are bound by the terms of this Release Agreement.

Please initial if participant is a minor

I have carefully read this Release Agreement, understand its contents, agree to its terms, and sign it of my own free will with full knowledge that I am releasing and/or waiving certain legal rights that I otherwise might have.

Signature of Client * 🛈

Date *

Enter your email address to receive a copy of this form

REGISTRATION FORM - Front Range Fitness for Women

RECREATIONAL

MEDICAL HISTORY

RELEASE ASSUMPTION OF RISK, WAIVER AND RELEASE OF LIABILITY FrontRangeBootCamp, LLC dba Front Range Fitness for Women (referred to as "Front Range" below) and Robyn Morrisette

RELEASE
ASSUMPTION OF RISK, WAIVER AND RELEASE OF LIABILITY
FrontRangeBootCamp, LLC dba Front Range Fitness for Women (referred to as "Front Range" below) and Robyn Morrisette