Lynnwood Adventure Boot Camp Registration

You have two options:

1. Register Online - complete the registration form below and click "Submit - I Am Ready To Get Fit!"

2. Register by Mail - complete the registration form below, print it, and mail it with payment to the following address:

Lynnwood Adventure Boot Camp

4516 188th Street SW

Lynnwood, WA 98037-4637

(Note: this is only the mailing address for checks. It is NOT where Boot Camp classes are held.)

Please make checks payable to "Lynnwood Adventure Boot Camp". NOTE: Spaces fill quickly for this unique experience. We cannot guarantee your space until we have received payment.

Pricing

Camps are only $135.

Registration Form

You will be notified to schedule your pre-camp evaluation if needed for your program. Measurements will be taken by appointment only. If you have extenuating circumstances, please contact (206)304-3453 to make other arrangements.

There will be no classes on Memorial or Labor Day, all classes will begin the day after the aforementioned holidays. There will be no drop-in classes on the day following Memorial and Labor Day.

First Name* Last Name* Street Address* City* State* Zip Code* Date of Birth (mm/dd/yyyy) Home Phone Number Cell Phone Number E-mail Address* I rate my current fitness level as (1-10, ten being high) How did you hear about us? I was referred by Is this your first camp? If you answered "no", when was the last camp you attended? My main fitness goal is Emergency Contact Name Emergency Contact Phone What camp are you joining? What time do you want to attend? All class times are available for attendance, please use one for your main class time. If you would like to purchase a yearly package (described above), please enter it here. Credit card number: Credit card expiration date: Are you allergic to any medications (aspirin, penicillin, sulfa, etc.)? Do you take any prescribed medications on a permanent or semi-permanent basis? Do you have a seizure disorder (epilepsy)? Do you have diabetes, adult or juvenile? Have you ever been found to be anemic (low blood count)? Do you have high blood pressure (hypertension)? Do you have or have you ever had heart disease? Do you have or have you ever had lung disease? Do you have or have you ever had kidney disease? Do you have or have you ever had liver disease? Do you have asthma? Have you ever had a severe neck injury? Have you ever been knocked out? Do you wear glasses and/or contact lenses? Have you had a broken bone or fracture in the past 2-years? Have you ever injured your back? Do you have back pain? Have you had knee pain in the past 2 years that has disabled you for longer than a week? Do you have other physical conditions that cause pain? What are your goals for the next three months?