Downtown Boot Camp:
"It's NEVER too late to start building your New Image"


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Registration!


  • Medical forms will be emailed to you shortly after you register.
     
  • Registrants must bring a signed version of the medical forms to the first class!
     
  • You may also register by phone or email.
     
  • We will call or e-mail you to confirm your registration.
     
  • IF YOU DO NOT RECEIVE A CALL OR AN EMAIL WITHIN 24 HR OF REGISTERING PLEASE CALL TO CONFIRM THAT WE RECEIVED YOUR REGISTRATION.
     
  • We meet at Topaz Park, parking is off Finlayson St by the lacrosse box.
     

 

Personal information
First Name: Last Name:
Address:
City: Postal Code:
Province: Country:
Phone: Email:
How did you hear about us?:
Medical information
Name of Doctor: Doctor Phone:
Care Card #:
Medical Conditions:
(Please list any Medical Conditions that may affect you participation in our Boot Camps, or should be know in case of an emergency. Example medical conditions such as heart disease, injuries, or anything that might concern you.)
Emergency Contacts
Contact #1 Name: Phone #:
Relationship:
Contact #2 Name: Phone #:
Relationship:
Class Selection
Class Time:
Class Start:
Corporate Bootcamp Discount:
Length of Boot Camp:
Tues/Thurs Boot Camp $99+hst CDN
M/W/F Boot Camp $175+hst CDN
Two T/T Boot Camps $175+hst CDN
Two M/W/F Boot Camps $300+hst CDN
Do you give us permission to use photographs of your participation in our Bootcamp on our webpage?
Yes
No
Do you wish to pay online for your Boot Camp following the submission of your registration?
You may pay the full amount due for your Boot Camp(s) or pay the minimum 25% deposit to secure your spot in the camp and pay the remainder later.
Yes, Pay the Full Amount Due
Yes, Pay only the 25% deposit
Yes, Pay the Corporate Rate
No
If you are interested in beginning your training and would like to know more contact Arran:
New Image Boot Camps are a service of New Image Bootcamps Inc. (250-884-3980).
Victoria, British Columbia, Canada.©2005-2011