Register today! Secure Online Form:

Registration is on an on-going basis, so you can register anytime.

PS: Do Not Make Payment Until Your Registration is Secured by Freedom Fitness BC:
 
Registration will take only a few minutes. Once you submit your registration, Freedom Fitness BC will contact you to set up your Pre-Camp Assessment and Options for Payment:

Personal Information
First Name:
Last Name:
Date of Birth:
Address:
City/Province/Postal Code:
Home Phone:
Cell Phone:
Email:
Emergency Contact Name:
Emergency Phone:
Current Fitness Level:
I rate my current fitness level 1-10: choose... 1 2 3 4 5 6 7 8 9 10
What are your goals?
Fitness Goals:
Health Goals:
Nutritional Goals:
What are your short term goals with Freedom Fitness BC?
Sign Up Information/Boot Camp Options:
Boot Camp Date:	(2009 CAMP SELECTION) March 16th - April 10th April 13th - May 8th May 11th - June 5th June 8th - July 3ed July 6th - July 31st August 3ed - August 28th
Boot Camp Times:	6:00 AM - 7: 00AM 7:00 AM - 8:00 AM 6:30 PM - 7:30 PM
Boot Camp Commitment:	5 Days  1 - 5 Days	Free Access
Discounts:
Medical History Remember: If you are returning to Freedom Fitness BC, you do not have to make any changes; the following is for new clients only.
1. Are you allergic to any medication (aspirin, penicillin, sulfa, etc.)?			Yes No
2. Do you take any prescribed medication on a permanent or semi-permanent basis?			Yes No
3. Do you have or ever had any of the following health problems/diseases?
	Heart Disease		Yes No
	Lung Disease		Yes No
	Liver Disease		Yes No
	Kidney Disease		Yes No
4. Do you have diabetes?			Yes No
5. Do you have high blood pressure (hypertension)?			Yes No
6. Do you have a seizure disorder (epilepsy)?			Yes No
7. Do you have asthma?			Yes No
8. Have you ever had a severe concussion?			Yes No
9. Have you ever had a serious neck problem?			Yes No
10. Do you wear contact lenses?			Yes No
11. Do you have back pain?			Yes No
12. Have you had a broken bone or fracture in the past 2 years?			Yes No
13. Have you ever had knee pain in the past 2 years?			Yes No
14. Do you have any other physical conditions that may cause pain?			Yes No
Please explain all "YES" answers in detail below, including any current medications. PLEASE REFERENCE THE QUESTION NUMBER.
How did you hear about Freedom Fitness BC?

 

  Remember: It is wise to seek your doctor's advice before beginning any health, fitness, and/or nutrition program!