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Benefits
  • 5-12 lbs of weight loss
  • 1-3 inch reduction at the midsection
  • Improve mental and physical strength
  • Increase energy
  • Improved self confidence
  • Reduction in blood pressure
  • Reduction in cholesterol


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Columbia Fitness Boot Camp
For Women

Michael Thomas

(803) 269-9120
fit@columbiabootcamp.com

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Long Socks Boot Camp details

Location:

Soda City - Corner of Main and Hampton Street (in front of Cola Art Muesum)

Program Description:

Wear your favorite long socks for an exercise class full of fun while you work out! Bring a mat and a friend and have fun!

Time:

10:00am

Important notes:
Cost to register: $10.00    

Registration form for Long Socks Boot Camp

  Date:12/13/2017
Name:
Age:
Home Phone:
Cell Phone:
Email:
 
Emergency Contact:
Name:
Home Phone:
Cell Phone:
 
Fitness Goals: 5-10lbs 10-15lbs 20+ Tone only
 
Eating habits:
Life style:  Active  Sedentary Hours of work:
Hours of sleep:
Do you feel stressed:
 Yes  No
Servings of water per day:
Servings of fruit and vegetables:
Servings of bread, rice, pasta, potatoes:
Sweetened drinks (Soda, Coffee Latte, Tea etc):
Servings of sweets, candy,
cookies, cakes, ice cream:
Servings of alcohol per week:
 
Eating routine
Do you skip meals?:
 Yes  No
if so which one:
 
How often do you eat out daily?
Number of times per week
 
Breakfast:
Lunch:
Dinner:
Please list the times you eat each meal listed below:
Breakfast:
Snack:
Lunch:
Dinner:
Do you have food cravings?:
 Yes  No
If so what kind:
Disclaimer:

WAIVER & RELEASE OF LIABILITY

Because physical exercise can be strenuous and subject to risk of serious injury, we urge you to obtain a physical examination from a doctor before using any exercise equipment or participating in any exercise activity. You agree that by participating in physical exercise or training activities, you do so entirely at your own risk. Any recommendation for changes in diet including the use of food supplements, weight reduction and/or body building enhancement products are entirely your responsibility and you should consult a physician prior to undergoing any dietary or food supplement changes. You agree that you are voluntarily participating in these activities and use of these facilities and premises and assume all risks of injury, illness, or death. We are also not responsible for any loss of your personal property. You reserve the right to not participate any exercise that you feel that is not appropriate for you. You acknowledge that you have carefully read this “waiver and release” and fully understand that it is a release of liability against the instructor and owner of the facility and Columbia Fitness Boot Camp.

 I've read and agree to disclaimer and other terms & conditions.