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The Nick Beakas Personal Training Studio presents The Return of the Boot Camp Games February 8th,

2014
Im happy to announce the return of the boot camp games set to take place on Saturday, 2/8/14! Compete on teams with your fellow boot campers to see where you measure up amongst your fellow fitness enthusiasts at NBPTS! To register, fill out the form below and the attached waiver. There is an entry fee of $5 per competitor. The deadline to register is 2/1/14. To ensure equal competition Nick Beakas will make teams based off of skill levels once all registrations have been received. All teams will complete approximately four rounds of four events as well as one team event. Event rounds and quantity of events within the rounds are subject to change based off of number of competitors and teams. No competitor may perform in more than one event in each round. There will be events within each round with different levels of difficulty from beginner to elite, but all geared towards working hard and pushing yourself. Its up to the teams to decide who performs which event. Non NBPTS boot camp members must attend a minimum of 3 paid boot camps in order to be evaluated. The scoring system will also depend on the quantity of teams. For example, if there are five teams, the team taking first place in an event will earn five points, second place will earn four points, third place will earn three points, fourth place will earn two points, and fifth place will earn one point. In the event of a tie, the two teams will split the points. For example, if two teams tie for second place, there are seven points to give between second and third place. In this example, both teams would earn 3.5 points.

Registration Info
Last Name_______________________ First Name______________________ Address____________________________________________________________ City___________________________ State_________ Phone_________________________ Zip__________________

Email__________________________

Emergency Contact Info


Name_______________________________________ Relation to contestant_________________ Phone______________

Acknowledgement of Purchase. I, ________________________, as the (Participant), through the registration of Battle of the Boot Campers, have agreed to voluntarily participate in a program/competition of physical exercise, including, but not limited to, strength training, flexibility and stabilization development, and aerobic exercise (Activities), under the guidance and/or advice of Nicholas Beakas and appointed substitute personal trainers (as a Personal Trainer). Initials____________ Acknowledgement of Health. I declare myself physically and mentally sound and suffering from no condition, impairment, disease, infirmity, or other illness that would prevent my participation in fitness training sessions or my use of workout equipment. I recognize it is my sole responsibility to obtain an examination by a physician prior to involvement in any exercise program. I acknowledge I have either had a physical examination and been given my physicians permission to participate, or if I have chosen not to obtain a physicians permission prior to beginning this exercise program. I will also fully inform the Personal Trainer prior to the start of my personal training Activities of any health issues, injuries, or limitations that I may have. Initials_________ Assumption of Risk. I understand and am aware that Activities, including the use of equipment, are potentially hazardous activities. I acknowledge the possibility that physical injuries and/or health events arising during and/or resulting from engaging in Activities does exist. I am voluntarily participating in such fitness training Activities and using equipment with knowledge of the possible dangers involved. Although Nicholas Beakas, as a Personal Trainer and organizer of the event, will take precautions to ensure my safety, I assume and accept responsibility for my safety and for any injuries. Initials__________ Waiver and Release of Liability. In consideration of Nicholas Beakas agreeing to act as a Personal Trainer and organizer of the event, I hereby agree to hold him harmless, to release him from liability, and indemnify him from all claims, demands, damages, rights of action or causes of action, arising out of or connected to my participation in such Activities and use of equipment. Contestant Name (Print)_________________________ Contestant Signature____________________________ Date_____________ Date_____________

Legal Guardian/Parent Name (If Under 18)_______________________________ Legal Guardian/Parent Signature_________________________ Date________