Extreme Fitness Boot Camp Registration Form - New
Thank you for registering with Mannys Fitness Program Boot Camp where your results are Guaranteed! Please remember to bring proper workout gear, proper running shoes, gloves (optional) and plenty of water to drink! We look forward to seeing you in boot camp.
*Please enter all of the required fields.
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  • Please provide an email you check personally where you will receive our Welcome to MFP, preparation details and billing information.
  • Please choose which Xtreme Fitness Boot Camp schedule you'll be attending.

  • Lompoc Sched #1
    5pm Mon, Wed & Fri
  • Which method of payment do you prefer.

  • Make checks payable to: Mannys Fitness Program
    Address: 909 East Bush Ave Lompoc Ca
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  • Returning MFPer

    If you are returning and have no medical changes, the medical section below does not need to be completed. All agreements remain the same. NOTICE: It is wise to seek your doctors advice before beginning any health/fitness/nutrition program!
  • Adult Boot Camp ONLY


    This release is entered into between the undersigned and Mannys Fitness Program. The purpose of Mannys Fitness Program is to provide fitness instruction, motivation and coaching for various levels of individuals.

    The undersigned hereby acknowledge that the following was explained to me and/or agree to the following:

    1. Acknowledges that Manny is not physicians and is not trained in any way to provide medical diagnosis medical treatment or any other type of medical advice.

    2. Acknowledges that coaching/training is another tool for teaching athletes/individuals about themselves but that Mannys Fitness Program does not guarantee neither good nor bad will occur nor guarantees the training advice given by Mannys Fitness Program will produce good nor bad results.

    3. Acknowledges that the undersigned has been told if they feel tired feel pain or feel out of the ordinary in any way either related to your training or otherwise that the undersigned should contact a physician at once.

    4. Acknowledges that boot camps, weight training, obstacle courses and any other related sports are an extreme test of one's mental and physical limits and carry with it potential for damage or loss of property serious injury and death. That the undersigned assumes the risks of participating in these types of events/activities including the inherent dangers of the natural elements that they are fit and they have a regular medical physician they can contact regarding any medical problems that they might develop. The undersigned expressly waive release discharge and agree not to sue from any liability of death disability personal injury or action of any kind and Mannys Fitness Program for the undersigned participating in said sporting events and/or training for said sporting events.

    The Undersigned agrees that this is the full agreement between the parties that Mannys Fitness Program nor anyone else has not verbally contradicted any of the terms of this release and that the undersigned has entered into this agreement free and voluntarily without force or coercion.
  • Your signature will be required at the time of your evaluation and you agree to the terms now! This is a legal electronic contract therefore legal actions are activated upon submission.