Registration Lafayette

Lafayette Adventure Boot Camp Registration

Option A: Print this page and mail it in with payment.
If paying by check, please make check out to:
Oakland Adventure Boot Camp
1112 El Curtola
Walnut Creek, CA 94595
Phone: (925) 285-5869

Option B: Fill out the form below and Click on SUBMIT.
If registering online
Fill out the online form below to register via internet.
Click on Submit to go to the payment page.
Payment Page: Pay via PayPal using a credit card or by transferring funds.
A PayPal account is not required to pay via PayPal.
*Transaction fee applied when using a credit card.

NOTE: Spaces fill quickly for this unique experience. We cannot guarantee your space until we have received payment.

RETURNING CAMPERS: Please read the following statement: I have attended boot camp within the last 6 months and there are no changes to my personal or medical information that the Oakland Adventure Boot Camp and its instructors need to be aware of for the safety of my well being. Returning Campers Register Here.

    Please note: All fields are required.

    Camp and Payment Information

    What camp are you joining?:

    Choose your camp time:

    Choose your camp frequency and cost:

    Form of payment:

    Personal Information



    Phone Number:





    Date of Birth:

    Self Assessment & Additional Information

    I rate my current fitness level as: (1-10):

    Is this your first adventure boot camp:

    Last Camp attended:

    My Main goal is:

    I was referred by:

    How did you hear about us?

    Name of Emergency Contact:

    Emergency Phone Number:

    Medical History

    Enter N/A for any section which is Not Applicable for you.

    Are you allergic to any medication? List medications:

    Do you take any prescribed medication? List medications:

    Do you suffer from epilepsy? List medications:

    Are you anemic? List medications:

    Do you have Diabetes? List medications:

    Do you have High Blood Pressure? List medications:

    Do you wear glasses or contact lenses?

    Do you have Asthma?

    Do you have Heart Disease? List medications:

    Do you have Lung Disease? List medications:

    Do you have Kidney Disease? List medications:

    Do you have Liver Disease? List medications:

    Have you ever had a severe neck injury? Describe:

    Have you ever been knocked out? Describe:

    Have you had a broken bone or fracture in the past 2 years? Describe:

    Have you had knee pain in the past 2 years that has disabled you for longer than a week? Describe:

    Have you ever injured your back? Describe:

    Describe any current pain you may be experiencing: Describe:

    Do you have other physical conditions which cause pain? Describe:

    Have you had any surgical procedures: Describe:

    What are your goals for the next three months? Describe:

    Have you had your body fat tested? Describe testing and results:

    Are you training for a specific event? If yes, explain:

    I agree to all Terms and Conditions