GETTING YOUR BEST
BODY IS EASY...

Camps fill up fast! Call to confirm availability!
Enlist in your Best Body BootCamp and we will contact you within 24 hours. Please fill-in the form below.

Step 1:
Personal Information

*Name:
*Email:
*Home Phone:
Day Phone:
Cell Phone:
*Address:
Address (line 2):
City:
Province:
*Postal Code:
*My main goal during Best Body Bootcamp is:
*My main goal after Best Body Bootcamp is:
*How did you hear
about us?
Comments:
 
Program Date:
Location:
Time:
 
Step 2:
Choose your free gift:
  Women's T-shirt - Medium
Women's T-shirt - Large

  Men's T-shirt - Medium
Men's T-shirt - Large
Men's T-shirt - XLarge


Step 3:
Health Questionnaire (PAR-Q)

Regular physical activity is fun and healthy, and increasingly more people are starting to become more active every day. Being more active is very safe for most people. However, some people should check with their doctor before they start becoming more physically active. If you are planning to become more physically active than you are now, start by answering the eight questions below. If you are between the ages of 15 - 69, the PAR-Q will tell you if you should check with your doctor before you start.

Please read each question and answer honestly by selecting YES or NO in the boxes.



1 Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? Yes
No

2 Do you feel pain in your chest when you do physical activity? Yes
No

3 In the past month, have you had chest pain when you were not doing physical activity? Yes
No

4 Do you lose your balance because of dizziness or do you ever lose consciousness? Yes
No

5 Do you have a bone or joint problem that could be made worse by a change in your physical activity? Yes
No

6 Is your doctor currently prescribing drugs (for example, diuretics or water pills) for your blood pressure or heart condition? Yes
No

7 Are you aware, through your own experience or a doctor’s advice, of any other reason why you should not exercise without medical approval? Yes
No

If you answered YES to any of the above questions, you and your doctor will need to complete a Medical Authorization Form BEFORE you become more physically active. Tell your doctor about the PAR-Q and which questions you answered YES.

NOTE: You may be able to do any activity you want – as long as you start slowly and build up gradually. Or, you may need to restrict your activities to those which are safe for you. Talk with your doctor about the kinds of activities you wish to participate in and follow his/her advice. If you answered NO honestly to all PAR-Q questions you can be reasonably sure that you can become more physically active and take part in a fitness appraisal/training.

Step 4:
Terms and Conditions

Informed Consent, Waiver of Liability, and Photo Release

The Best Body Bootcamp is an indoor/outdoor fitness program offered by Health Express Corp. I understand that the program involves strenuous physical activity including, muscle strength and endurance training, cardiovascular conditioning and training and other fitness activities. I hereby affirm that I am in good physical condition and do not suffer from any known disability or condition which would prevent or limit my participation. I acknowledge that my enrollment and participation in the Best Body Bootcamp is purely voluntary.

I fully understand that I may injure myself as a result of my enrollment and subsequent participation in the Best Body Bootcamp. The conditions and injuries I may develop include heart attacks, muscle strains, muscle pulls, muscle tears, broken bones, shin splints, heat prostration, injuries to knees, injuries to my back, injuries to knees, back and feet and other illness, soreness including death.

In consideration of my participation in the Best Body Bootcamp I hereby release Health Express Corp. and its trainers, coaches, managers, directors, employees, agents, successors, officers, affiliates and assigns, as well as the owners, staff and operators of any facilities used by Health Express Corp. from any claims, demands and causes of action I may have for loss, damage, injury and expenses, including any claim based on negligence and breach of contract, as a result of my voluntary participation and enrollment in the Best Body Bootcamp.

I fully agree to indemnify and hold harmless Health Express Corp. from any claims for loss, damage, injury or expense associated with my participation in the Best Body Bootcamp.

I acknowledge and agree that the forgoing is binding upon my personal representatives, heirs, and assigns.

I understand that I may not open my own Bootcamp or divulge program information within 3 years after signing this document and/or attending the Best Body BootCamp operated by Health Express Corp.

I understand that I will perform an exercise test & fitness evaluation. The exercise intensity will change throughout the course of the evaluation. You may stop the test at any time because of signs of fatigue, changes in your heart rate, and/or blood pressure. I understand that I may stop whenever I wish because of feelings of fatigue or any other discomfort.

I understand that every effort will be made to minimize these risks by evaluation of preliminary information relating to my health and fitness and by observation during testing.

I understand that information I possess about my health status or previous experiences of unusual feelings with physical effort may affect the safety and value of my exercise test. I acknowledge that my prompt reporting of unusual feelings during the exercise test itself is extremely important and that I am responsible for fully disclosing such information whether or not requested by the testing staff.

I understand that results obtained from the exercise test may assist in evaluating what type of physical activities I might do with low risk and be used as a guideline for my fitness level progression. I acknowledge that questions about the procedures used in the exercise test or the results of my test are encouraged. If I have any concerns or questions, I understand that I should ask for further explanations.

My permission to perform this exercise test is voluntary. I understand that I am free to stop the test at any point, if I desire.

Photo release: In connection with my participation in the Health Express Best Body Bootcamp, Health & Fitness Classes, Programs, I consent to the use of my photograph or other likeness in the promotional and other materials of Health Express without payment or other consideration made to me.

I declare I am 19 years of age or older and have read and understood the terms of this release and waiver.

I understand that there is a no refund policy, in respect of my enrollment in the Best Body Bootcamp, but I may receive a credit (for any unused portion of Bootcamp) towards a future Bootcamp if I am unable to complete the Bootcamp I originally join.


I have read, and I agree to the terms and conditions Yes
No