Home Cardio Kickin Kettlebells Fit Camp Personal Training Registration Products About Us 
Schedule
Testimonials
Workout Class
Workshop
Payment
Results
Schedule
Testimonials
Payment
Register for classes
Biography
WYTS System

The Body Warehouse Registration Form

 

Please complete & submit this form to register for any class, camp or workshop offered by The Body Warehouse. Note that registration is separate of payment of fees or dues for classes, camps and workshops. To make payments online, please see the information page for the particular program you are interested in. There you will find links to PayPal online payment options or other instructions regarding making payments. Thank you.

 

 

Select Program:
Last Name:
First Name:
Street Address:
City, State:
Home Phone:
Cell Phone:
Email:
Emergency Contact Name:
Emergency Phone:
Medical restrictions:
Description of restrictions:
Currently in good health:
Describe health issues:
Description of any allergies to medications:
High blood pressure:
Back pain:
Frequency of back pain:
Back pain brought on by vigorous activity:
Describe any past or recent knee pain:
Describe your fitness goals for the next three months:

Workout Release

I, the undersigned, acknowledge and expressly understand that the participation in The Body Warehouse Kettlebell Workshops, Kickboxing Aerobics, Fighting Fit Boot Camp, Personal or Self –Defense Training, or any class is done at the participant’s sole risk. You understand that these activities will challenge your physical and mental limits and carry the potential of serious injury and death.

It is always recommended that each person should seek medical approval prior to participating in this, or any exercise program.

It is also understood that this activity is physical in nature. Given the physical activity and duration of the activity individuals may experience a number of reactions as a direct result of said participation. If they feel pain or other unusual symptoms, related to your training or otherwise, that the undersigned should contact a physician.

It is expressly understood and agreed that California Elite Sports Center, World Champion Karate, or any Facility utilized by The Body Warehouse, Paul A. Daniels, his representatives, agents assignees, or instructors acting under his expressed direction, shall forever be released from liability with agreement not to sue, and forever be held harmless in the event of any loss or theft of goods/property, injury, and/or death to any participant(s). By executing this instrument, the undersigned assumes all risk and responsibilities for the named participant(s).

I understand that any photos or videos taken during said activities may be used for promotional purposes only.

By submitting this form, you are agreeing to all of the above.