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AMH Fitness
Your Life. Your Body. Your Choice.
 
 

Please fill out information below to register with Boot Camp 512
*If you wish to pay by cash or check, leave credit card fields blank. If you use a credit card, we will call you before we process your card to confirm your information*

 

First Name
Last Name
Phone
Email
Address
Zip
Primary fitness goal?
Are you currently enlisted with Boot Camp 512?*
 Yes 
 No 
In the last month, have you participated in an
exercise program?
 Yes 
 No 
Have you ever been on a "diet"
 Yes 
 No 
Are you currently taking any medication?
 Yes 
 No 
Do you have any current or past injuries?
 Yes 
 No 
If yes, please explain:
Select primary camp location
Camp format
 4 weeks, Unlimited classes-$150 (First Camp) 
 8 weeks, Unlimited classes-$275 (First Camp) 
 12 weeks, Unlimited classes-$375 (First Camp) 
 4 weeks, Unlimited classes-$135 (Returning Camper) 
 8 weeks, Unlimited classes-$247.50 (Returning Camper) 
 12 weeks, Unlimited classes-$337.50 (Returning Camper) 
 Groupon 
Groupon Code
If referred, name of referrer
Method of Payment
 Cash 
 Check 
 Credit Card 
Card number
Card expiration (mm/yy)
CSC code (3 digits on back)
  
 
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