Sign-Up Consent Form

Personal Information
Your Name *
Your Name
Phone *
Emergency Contact
Release and Waive of Liability and Policies
By participating in this Private Fitness Event and using Big Mike's Bootcamp outdoor facilities in Ruth Hardy Park and/or Onsite at the Client's requested location and using supplied exercise equipment, you hereby acknowledge on behalf of yourself, your heirs, personal representatives and/or assigns, that there are certain inherent risks and dangers in the strenuous nature of the Big Mike's Bootcamp workout program, you hereby acknowledge that you have voluntarily chosen to participate in an intense physical exercise program. You understand that Big Mike's Bootcamp strongly recommends that you consult with my physician prior to commencing any classes. By signing this document, you acknowledge that you have been fully informed of the strenuous nature of this exercise program and the possibility of adverse physiological occurrences including, but not limited to: abnormal blood pressure, fainting, heart attack or death. By signing this document, you assume all risk for your health and well-being, and fully release and hold harmless for any responsibility, cost or damages Big Mike's Bootcamp LLC, its instructors, members and employees. You hereby acknowledge that you, and any minor* under your care, fully release. * No one under 18 may participate. The content on the Big Mike's Bootcamp website, including without limitation, the text, software, scripts, graphics, photos, sounds, music, videos, interactive features and the like (“Content”) and the trademarks, service marks and logos contained therein (“Marks”), are owned by or licensed to Big Mike's Bootcamp, subject to copyright and other intellectual property rights under the law. Content on the website is provided to you as is for your information and personal use only and may not be downloaded, copied, reproduced, distributed, transmitted, broadcast, displayed, sold, licensed, or otherwise exploited for any other purposes whatsoever without the prior written consent of the respective owners. Big Mike's Bootcamp reserves all rights not expressly granted in and to the website and the Content. You acknowledge and agree that any questions, comments, suggestions, ideas, feedback or other information about the website or services, provided by you to Company are non-confidential and shall become the sole property of Big Mike's Bootcamp. You agree to not engage in the use, copying, or distribution of any of the Content other than expressly permitted herein. You agree not to circumvent, disable or otherwise interfere with security-related features of the website or features that prevent or restrict use or copying of any Content or enforce limitations on use of the website or the Content therein. “Big Mike's Bootcamp,” “Big Mike's,” and the “Big Mike” icon and other graphics, logos, wordmarks, and designs are trademarks of Big Mike's Bootcamp in the U.S. and/or other countries for which applications are pending. Big Mike's Bootcamp’s trademarks and trade dress may not be used, including as part of trademarks and/or as part of domain names, in connection with any product or service in any manner that is likely to cause confusion and may not be copied, imitated, or used, in whole or in part, without the prior written permission of Big Mike's Bootcamp. I understand that photos or video of me may be taken during the course of my involvement in Boot Camp, which may be used for promotional purposes by Big Mike's Boot Camp. I will arrive at camp ON TIME (at least 5 minutes prior to the official start of my workout). *
Type Your Name to Verify Agreement *
Type Your Name to Verify Agreement
Date of Agreement *
Date of Agreement