Register for Agoura, Oak Park, Westlake Boot Camps

COMPLETE THE FOLLOWING REGISTRATION FORM TO ENROLL IN MOTIVFIT CLASSES & START YOUR FREE TRIAL

Note: Your FREE TRIAL will give you the opportunity to come try a motivFIT Workout for FREE and see if our program is for you. Upon completing your FREE TRIAL and you decide to stay on board, we will email you a website link directed to motivFIT's secure server, so that you can complete the financial portion of your enrollment for the Body Blast Challenge. We do not accept checks or cash.

**GROUPON AND LIVING SOCIAL CUSTOMERS DO NOT RECEIVE A FREE TRIAL**

AGOURA HILLS View Class Schedule & Availability
5:30 - 6:30 AM
8:30 - 9:30 AM
6:00 - 7:00 PM

I HAVE RECEIVED ONE OF THE FOLLOWING DISCOUNTS


Groupon	Enter coupon code:
Living Social	Enter coupon code:

motivFIT Gift Card Note: You must present your Gift Card to your Fitness Coach at your first workout. This card is redeemable for the Body Blast Challenge at all motivFIT Locations. Gift card may not be combined with other promotions. May be used by first-time clients only. Sorry, not exchangeable for cash.

Corporate Rate Please enter code:


Special introductory offer from Marketing Material Enter code: Enter source:

COMPLETE YOUR PERSONAL INFORMATION

First Name:

Last Name

Street Address:

City

Email Address:

State Zip

Home Phone:

Work Phone

Cell Phone:

Profession

Date of Birth:

My main goal is:

EMERGENCY CONTACT INFORMATION

*Name:

*Phone:

MEDICAL HISTORY

*1. Has your doctor ever said that you have a heart condition and that you should only perform physical activity recommended by a doctor?
Yes No

*2. Do you feel pain in your chest when you perform physical activity?
Yes No

*3. In the past month, have you had chest pain when you are not performing any physical activity?
Yes No

*4. Do you lose your balance because of dizziness or do you ever lose consciousness?
Yes No

*5. Do you have a bone or joint problem that could be made worse by
a change in your physical activity?
Yes No

*6. Is your doctor currently prescribing any medications for your blood pressure or for a heart condition?
Yes No

*7. Do you know of any other reason why you should not engage in physical activity?
Yes No

If you have answered " Yes" to one or more of the above questions, consult your
physician before engaging in physical activity. Tell your physician which questions
you answered "Yes" to. After a medical evaluation, seek advice from your physician
on what type of activity is suitable for your current condition.

*8. Do you have asthma?

Yes No

*9. Do you have High Blood Pressure?

Yes No

*10. Have you ever been diagnosed with Diabetes?

Yes No

*11. Have you ever been diagnosed with epilepsy or have a seizure disorder?

Yes No

*12. Do you take any prescribed medications?

Yes No

If Yes, List Meds:

*13. Are you allergic to any medications?

Yes No
If Yes, List Meds:

*14. Have you ever had any major injuries?

Yes No
If Yes, Describe:

*15. Have you had a broken bones or fractures ? If so, how long ago?

Yes No
If Yes, Describe:

*16. Do you have any pains in your neck or back pain?

Yes No
If Yes, Describe:

*17. Have you had any knee pain or injuries in the last 5 years?

Yes No
If Yes, Describe:

*18. What are your goals for the next six months?

How did you find us?

Please specify publication / website / friend or other referral:

PARTICIPATION AGREEMENT; INFORMED CONSENT WAIVER; LIABILITY RELEASE;
& NON COMPETE AGREEMENT

MOTIVFIT MEMBER / PARTICIPANT ACKNOWLEDGMENT AND ASSUMPTION OF RISK AND FULL RELEASE FROM LIABILITY OF MOTIVFIT BODY BLAST CHALLENGE, JEFF MORGAN, CARRIE MORGAN, FITNESS TRAINING FOR LIFE, LLC, WHICH IS DOING BUSINESS AS MOTIVFIT, IT'S EMPLOYEES, CONTRACTORS, OFFICERS, OR OWNER/S, THE CITY OF AGOUR HILLS, DEPARTMENT OF COMMUNITY SERVICES, THE CITY OF OAK PARK, RANCHO SIMI RECREATION PARK DISTRICT,THE CITY OF WESTLAKE VILLAGE, THE CITY OF THOUSAND OAKS,CONEJO RECREATION AND PARK DISTRICT, THE CITY OF NEWBURY PARK, THE CITY OF VENTURA, THE CITY OF CAMARILLO, THE CITY OF OXNARD, VENTURA COUNTY PARKS AND RECREATION, THE CITY OF HENDERSON, THE CITY OF LAS VEGAS, THE CITY OF NORTH LAS VEGAS, HENDERSON PARKS AND RECREATION, CLARK COUNTY PARKS AND RECREATION, THE STATE OF CALIFORNIA PARKS DEPARTMENT,NATIONAL PARKS SERVICE,UNITED STATES DEPARTMENT OF INTERIOR. PARTICIPANT ACKNOWLEDGES THESE PHYSICAL ACTIVITIES INVOLVES THE INHERENT RISK OF PHYSICAL INJURIES OR OTHER DAMAGES, INCLUDING, BUT NOT LIMITED TO, HEART ATTACKS, MUSCLE STRAINS, PULLS OR TEARS, BROKEN BONES, SHIN SPLINTS, HEART PROSTRATION, KNEE/LOWER BACK/FOOT INJURIES AND ANY OTHER ILLNESS, SORENESS, OR INJURY HOWEVER CAUSED, OCCURRING DURING OR AFTER PARTICIPANT PARTICIPATION IN THE PHYSICAL ACTIVITIES. MOTIVFIT BODY BLAST MEMBER FURTHER ACKNOWLEDGES THAT SUCH RISKS INCLUDE, BUT ARE NOT LIMITED TO, INJURIES CAUSED BY THE NEGLIGENCE OF AN INSTRUCTOR OR OTHER PERSON, DEFECTIVE OR IMPROPERLY USED EQUIPMENT, OVER-EXERTION OF A MOTIVFIT BODY BLAST MEMBER, SLIP AND FALL BY MOTIVFIT BODY BLAST MEMBER, OR AN UNKNOWN HEALTH PROBLEM OF MOTIVFIT BODY BLAST MEMBER. MOTIVFIT BODY BLAST MEMBER AGREES TO ASSUME ALL RISK AND RESPONSIBILITY INVOLVED WITH PARTICIPATION IN THE PHYSICAL ACTIVITIES, MOTIVFIT BODY BLAST MEMBER AFFIRMS THAT MOTIVFIT BODY BLAST MEMBER IS IN GOOD PHYSICAL CONDITION AND DOES NOT SUFFER FROM ANY DISABILITY THAT WOULD PREVENT OR LIMIT PARTICIPATION IN THE PHYSICAL ACTIVITIES. MOTIVFIT BODY BLAST MEMBER ACKNOWLEDGES PARTICIPATION WILL BE PHYSICALLY AND MENTALLY CHALLENGING, AND MOTIVFIT BODY BLAST MEMBER AGREES THAT IT IS THE RESPONSIBILITY OF THE MOTIVFIT BODY BLAST MEMBER TO SEEK COMPETENT MEDICAL OR OTHER PROFESSIONAL ADVICE, REGARDING ANY CONCERNS OR QUESTIONS INVOLVED WITH THE ABILITY OF PARTICIPANT TO TAKE PART IN THE MOTIVFIT BODY BLAST ACTIVITIES. BY CLICKING THE SUBMIT BUTTON AT THE BOTTOM OF THIS PAGE, MOTIVFIT BODY BLAST MEMBER / PARTICIPANT ASSERTS THAT HE OR SHE IS CAPABLE OF PARTICIPATING IN THE PHYSICAL ACTIVITIES. MOTIVFIT BODY BLAST MEMBER AGREES TO ASSUME ALL RISK AND RESPONSIBILITY FOR NOT EXCEEDING HIS OR HER PHYSICAL LIMITS. PARTICIPANT/ MOTIVFIT BODY BLAST MEMBER IS AWARE THAT THEIR MOTIVFIT BODY BLAST MEMBERSHIP IS EITHER 12 CONSECUTIVE MONTHS OR MONTH-TO-MONTH DEPENDING ON THE "ACTIVATE FREE TRIAL NOW' BUTTON THAT PARTICIPANT/MOTIVFIT BODY BLAST MEMBER SELECTS ON THE PAYMENT PAGE, AND WILL BE CONSIDERED ACTIVE AND ONGOING UNLESS NOTIFICATION OF CANCELATION IS SENT VIA EMAIL 5 BUSINESS DAYS BEFORE NEXT BILLING DATE TO CANCEL@MOTIVFIT.COM. PARTICIPANT UNDERSTANDS THAT THEIR WILL BE A $50 DOLLAR CHARGE AND DUE IMMEDIATELY FOR EVERY MONTH CONSIDERED ACTIVE IF 12 MONTH CONTRACT IS CANCELLED EARLY. PARTICIPANT UNDERSTANDS PHOTOS OR VIDEO MAY BE TAKEN DURING THE COURSE OF THEIR INVOLVEMENT IN MOTIVFIT BODY BLAST, WHICH MAY BE USED FOR PROMOTIONAL PURPOSES. BODY BLAST MEMBER/PARTICIPANT UNDERSTANDS THAT HE/SHE IS ENTITLED TO A 30 DAY UNCONDITIONAL MONEY BACK GUARANTEE. IF AT ANY TIME DURING THE FIRST 30 DAYS OF MEMBERSHIP, BODY BLAST MEMBER/PARTICIPANT IS NOT SATISFIED WITH THE BODY BLAST, THEN MOTIVFIT BODY BLAST MEMBER /PARTICIPANT WILL SEND NOTIFICATION VIA EMAIL TO CANCEL@MOTIVFIT.COM, REQUESTING A FULL REFUND. MOTIVFIT BODY BLAST MEMBER /PARTICIPANT UNDERSTANDS THAT HE/SHE IS ENTITLED TO A 30 DAY UNCONDITIONAL MONEY BACK GUARANTEE. IF AT ANY TIME DURING THE FIRST 30 DAYS OF MEMBERSHIP, MOTIVFIT BODY BLAST MEMBER /PARTICIPANT IS NOT SATISFIED WITH THE MOTIVFIT BODY BLAST CHALLENGE, THEN MOTIVFIT BODY BLAST MEMBER /PARTICIPANT WILL SEND NOTIFICATION VIA EMAIL TO REFUND@MOTIVFIT.COM REQUESTING A FULL REFUND. MOTIVFIT BODY BLAST MEMBER /PARTICIPANT ACKNOWLEDGES THAT THEY ARE ASKING TO PARTICIPATE IN THIS PROGREESIVE FITNESS PROGRAM STRICTLY FOR PERSONAL REASONS TO IMPROVE THEIR FITNESS CONDITIONING AND MOTIVFIT BODY BLAST MEMBER /PARTICIPANT ACKNOWLEDGES THAT AS A RESULT THEY WILL BE EXPOSED TO PROPRIETARY TRAINING TECHNIQUES OF MOTIVFIT WHICH ARE INTENDED FOR SAME; CONSEQUENTLY, MOTIVFIT BODY BLAST MEMBER /PARTICIPANT ACHKNOWLEDGES AND AGREES THAT THEY ARE NOT AUTHORIZED TO RECORD THE PROGRAMMING OR DAILY PLANS OF MOTIVFIT, AND MOTIVFIT BODY BLAST MEMBER /PARTICIPANT WILLINGLY SURRENDERS AND PROMISES THAT FOR A PERIOD OF NO LESS THAN 18 MONTHS AFTERWARD. MOTIVFIT BODY BLAST MEMBER /PARTICIPANT WILL NOT DIRECTLY OR INDIRECTLY PARTICIPATE IN A BUSINESS THAT IS SIMILAR IN NATURE IN THE SAME GEOGRAPHIC AREA (WITHIN 45 MILES) OF ANY MOTIVFIT LOCATION. THIS INCLUDES MOTIVFIT BODY BLAST MEMBER PARTICIPATING IN THEIR OWN BUSINESS OR AS A CO-OWNER, DIRECTOR, OFFICER, CONSULTANT, INDEPENDENT CONTRACTOR, EMPLOYEE, OR AGENT OF ANOTHER BUSINESS. IF YOU ARE NOT ABLE TO COMPLETE THE MOTIVFIT BODY BLAST CHALLENGE YOU ORIGINALLY STARTED DUE TO INJURY OR MAJOR ILLNESS THAT KEEPS YOU FROM ATTENDING CLASS WORKOUTS FOR 5 OR MORE DAYS, WE CAN ONLY GIVE YOU A CREDIT TOWARDS ANOTHER MOTIVFIT BODY BLAST CHALLENGE. ALL OTHER REASONS AND EXCUSES ARE UNACCEPTABLE! MOTIVFIT BODY BLAST CHALLENGE FEES CANNOT BE USED TOWARDS ANY OYHER PRODUCTS OR SERVICES PROVIDED BY MOTIVFIT. THIS CREDIT IS NONTRANSFERABLE. THERE IS NO CASH REFUND. THIS IS NOT NEGOTIABLE

I Accept The Above Terms and Conditions

YOU MUST ALLOW 24-48 HOURS FOR YOUR REGISTRATION TO BE PROCESSED AND SCHEDULING OF YOUR START DATE BY YOUR DESIGNATED FITNESS COACH!

motivFIT is proudly serving the following communities:

Westlake Village - Thousand Oaks - Agoura Hills - Newbury Park - Oak Park - Lost Hills - Lake Sherwood - Old Agoura

North Ranch - Dos Vientos Ranch - Sunset Hills - Calabasas - Camarillo - Simi Valley - Moorpark - Conejo Valley

Westlake Village Boot Camps
Outdoor Fitness Boot Camps classes that guarantee results of losing weight, body fat and inches. Westlake Village Boot Camp is a certified fitness camp training program in Westlake Village and is locally owned and operated. We proudly serve Westlake Village, Lake Sherwood, North Ranch and surrounding areas of the Conejo Valley and Ventura County.

Thousand Oaks Boot Camps
Outdoor Fitness Boot Camps classes that guarantee results of losing weight, body fat and inches. Thousand Oaks Boot Camp is a certified fitness camp training program in Thousand Oaks Ca, and is locally owned and operated. We proudly serve Thousand Oaks, Newbury Park, , Dos Vientos Ranch, Sunset Hills, Moorpark, Simi Valley and surrounding areas of the Conejo Valley and Ventura County.

Agoura Hills Boot Camps
Outdoor Fitness Boot Camps classes that guarantee results of losing weight, body fat and inches. Agoura Hills Boot Camp is a certified fitness camp training program in Agoura Hills Ca, and is locally owned and operated. We proudly serve Agoura Hills, Lost Hills, Old Agoura, Oak Park, Malibu, Calabasas and surrounding areas of the Conejo Valley and Los Angeles County.