Boot Camp Subscription Page

STEP 1 -----> Step 2 -----> Step 3 -----> Step 4 -----> Step 5

BOOT CAMP

Application Form

We take your health and safety seriously at Phillips-Fit so to ensure the safest possible start to your weight loss journey and guarantee your utmost success, there are 5 simple steps to joining Boot Camp which should take you no longer than 10 minutes to complete:

STEP 1 - Boot Camp Application Form - approx 1 min

STEP 2 - Physical Activity Readiness Questionnaire - approx 3 mins

STEP 3 - Consent Form/Terms & Conditions - approx 2 mins

STEP 4 - Secure Online Payment* - approx 2 mins

STEP 5 - Subscribe to Boot Camp Daily Emails - approx 30 secs

You will receive an email confirmation after successfully completing each step.

Which Boot Camp package you would like?

Which days do you initially plan to attend? (NOTE - Once registered you can mix and match as you please but your 1st session will always be either a Mon or Tue)

Mon & Thu

Tue & Fri

Which MONDAY would you like to start? NOTE - Please only register within 6 days from the day you wish to start and not more than 6 days from your start date. Your start date will always be a Monday

First Name:

Last Name:

Email:

Contact Number:

GROUPON VOUCHER HOLDERS enter the GROUPON CODE here (eg. 123/4321, if you don't have a voucher simply enter 'N/A'):

GROUPON VOUCHER HOLDERS enter the SECURITY CODE here (eg. 123ABC456D, if you don't have a voucher simply enter 'N/A'):

To redeem ANY OTHER voucher or special offer please enter the code here:

Where did you first hear about the Boot Camp:

If you selected "Other" please specify:

Any comments: