GRUNT! Hump/Bootcamp registration is an easy two step process. First complete and submit this form then select your program and you're in. We will email your confirmation to your email address.
Waiver and Disclaimer
Service Disclaimer An online membership to Shapeclub.com is NON-transferable. Shapeclub shall not be held accountable for performance issues related to Internet connection speed, download time, and telecommunication services beyond their control. By agreeing to this statement, you accept these statements in their entirety. Medical Warning, Disclaimer and Release The content of the Shapeclub's web site is provided for information purposes only. While obtained from sources that Shape Club believe to be reliable, Shape Club do not guarantee the accuracy of, or assume any liability for, the content of any articles, product descriptions or other materials on the site. Shape Club do not recommend, endorse or warrant any specific test, product, or procedure presented on the site, AND EXPRESSLY DISCLAIMS ANY AND ALL WARRANTIES RELATED THERETO, INCLUDING THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS. Reliance upon any information or use of any products presented on the Shape Club web site is solely at your own risk. Neither the content of, nor any service offered on or through Shapeclub, should be relied upon for medical diagnosis, treatment or as a substitute for professional medical advice. Shape Club is not engaged in the rendering of medical advice or services. Never disregard medical advice or delay seeking such advice because of something that you read on Shapeclub.com. As a feature on the interactive programs available through this web site, Shape Club is liable for any adjustments and/or calculations made on this website. By clicking on the "I Agree" radio buttton below, you certify that (1) you have read and agree to the above terms; (2) you have received consent from your physician to participate in these activities and use these products; (3) acknowledge that you do so voluntarily and at your own risk; and (4) agree to release and relieve Shape Club of any and all liability for any injuries, claims or damages arising out of your use of, or reliance upon, the Shape Club site. Consult with your physician before starting this and any exercise program I Agree *
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Yes
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If you answered yes to one or more of the questions above please answer questions 7 & 8
Medical History Questionnaire - Answer the following questions regarding your own health history*.
Heart Disease or Stroke
High Blood Pressure
High Triglyceride
Cancer
Lung/Pulmonary Disease
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Kidney Disease
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Osteoporosis
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Ulcer
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Gastrointestinal Disease
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Depression
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Diabetes Mellitus (DM)
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Obesity
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Arthritis
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Food Allergies
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Bulemia
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Anemia
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Neuromuscular Disease
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Diarrhea
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Arteriosclerosis
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Gallbladder Disease
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Low back pain within last 6 months
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Psychological problems
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Compulsive overeating
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Other medical condition (s) that may have an impact on your participation in any Shape Club services (if checked please explain).
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Pregnant/lactating or trying to conceive
26.
Currently being monitored or have been advised to be monitored by a physician
27.
Recommended high level care
28.
Are you on a special diet
Comments
By clicking the submit button you are representing all information on this form is true and correct.
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