BCX
Name_________________________________
Address_______________________________
_____________________LA,________
Phone________________ Birthday_________
Email ________________________________
TRIAL START DATE:_________ EXPIRES__________
THIS IS NOT A...
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BCX
Name_________________________________
Address_______________________________
_____________________LA,________
Phone________________ Birthday_________
Email ________________________________
TRIAL START DATE:_________ EXPIRES__________
THIS IS NOT A MEMBERSHIP AGREEMENT.
AT END OF FREE WEEK
YOU HAVE THE OPTION TO JOIN BCX GROUP FITNESS TRAINING.
I am voluntarily participating in a workout program with Jessie Lipoma and/or Becky Edwards.
I
fully understand that I am doing so at my own risk and that it is my responsibility to consult my
doctor prior to beginning any workout program.
I herby assert that I am in good health and that I am
not aware of any medical reason which would prevent me from participating in a rigorous exercise
program.
Further, I fully understand that it is my responsibility to use any and all equipment,
machinery, apparatuses, and/or appliances properly.
I agree that TRAINER JESSIE, JESSIE
LIPOMA INDIVIDUALLY, AND BECKY EDWARDS INDIVIDUALLY, BOOTCAMP
XPLOSIO
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