August Bootcamp Sign-up

Name

First Name

Last Name

Phone

Date of Birth

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact Name, Phone and Relationship

Please list all current medical conditions and injuries

What are your main goals from the bootcamp or what would success look like to you?

Please describe

Checkbox

By ticking this box you agree and understand that Māia CrossFit has taken all reasonable steps to minimise the risk of injury, however agree and understand that all forms of exercise come with a degree of risk and therefore will not hold Māia CrossFit or any agents acting on its behalf liable for any injury or damage except in the case of gross negligence.

Agree