important-update

The Boxing Schedule is updated every Monday
Ask about our beginner classes
Ask about our Boot Camp member discount option. We no longer accept checks as payment. please contact us if you have questions.

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1
Are you allergic to any medication (aspirin, penicillin, sulfa, etc.)?
List Medications:
2
Do you take any prescribed medication on a permanent or semi-permanent basis?
List Medications:
3
Do you have a seizure disorder (epilepsy)?
List Medications:
4
Do you have diabetes Adult or Juvenile?
5
Have you ever been found to be anemic (low blood count)?
6
Do you have High Blood Pressure (hypertension)?
List Medications:
7
Do you have or have you ever had Heart Disease?
8
Do you have or have you ever had Lung Disease?
9
Do you have or have you ever had Kidney Disease?
10
Do you have or have you ever had Liver Disease?
11
Do you have asthma?
List Medications:
12
Have you ever had a severe neck injury?
13
Have you ever been knocked out?
14
Do you wear glasses or contact lenses?
15
Have you had a broken bone or fracture in the past 2 years?
16
Have you ever injured your back?
17
Do you have back pain?
18
Have you had knee pain in the past 2 years that has disabled you for longer than a week?
19
Do you have any other conditions which will limit your participation in boot camp?
20
Detail any surgical procedures:

NOTICE: It is wise to seek your doctors advice before beginning any health/fitness/nutrition program!

LIABILITY RELEASE
This release is entered into between the undersigned and Eastern Mass Adventure Boot Camp, its officers, subsidiaries, affiliates, and executors in addition to the City of Eastern Mass. The purpose of Eastern Mass Adventure Boot Camp is to provide fitness instruction and coaching for various levels of athletes/individuals.

The undersigned hereby acknowledge that the following was explained to me and/or agreed upon.

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