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Boot Campss The Original 50-Plus Women Only Fit Kids Camp Explosive Challenge	Sports Performance	Nutrition
	Personal Training	EF In The News
	Corporate Program	Contact
	Registration	Links to Friends

Kids Summer Camp Registration Form
Mission assignment will be received upon completion of registration

Your Information
	First Name
	Last Name
	Date of Birth
	Age
	Address
	City
	State
	Zip
	Parent's Name
Home Work Mobile	Telephone
	Email
	School Name
	School District
	Grade
	Emergency Contact Name
	Emergency Contact Number
	Current Fitness Level
	Activity Level
	Organized Sports (list sports or activities in school or community center)
	T-shirt size (adult sizes)

Please answer the following questions:
YES	NO
		Has your doctor ever said you have heart trouble?
		Have you ever had pains in your chest?
		Do you often feel faint or have spells of dizziness?
		Has a doctor said your blood pressure is too high?
		Has a doctor said that you might have bone or joint problems, such as arthritis, that has been aggravated by exercise/ worse with exercise?
		Have you been hospitalized in the past 3 years?
		Are you currently taking medication?
		Do you suffer from asthma or breathing difficulties?
		Do you suffer from diabetes or epilepsy?
		Do you suffer from an allergy?
		If 'Yes' what medication do you take?
		Is there any physical/medical reason not mentioned here why you should not follow an exercise program?
		Where did you hear about us?
*If you answered 'Yes' to one or more of these questions, please consult you physician before starting any exercise program.
Comments or additional information If you would rather mail your registration, download the form here.