CIA CrossFit Kettlebell Fitness Training for Elite Athletes, Fitness for Women, Fitness for Men, Serious Training, Life Training, Obsessive Training
K2 CIA - Forging "Future" Fitness for Life Success
CROSSFIT of Aurora and Centennial, Colorado



   

 

CIA Kids - 3:30 p.m. and 4:45 p.m. (30 minutes)
CIA VARSITY - 4:00 p.m. (45 minutes)
CIA Teen/Adult - 4:45 p.m.
(45 minutes)

Secure Registration Form:

SSL Certificates

Use this online form if you are paying by credit card only.
If you want to mail in/fax in your form, click on the appropriate form to download:

Boot Camp Registation Womens Boot Camp Registration

NOTE: We cannot guarantee your space will be reserved if you do not supply us with payment information on this form. CLICK HERE to ready our Privacy Policy


Kids / VARSITY / Teen/Adult REGISTRATION FORM

Email Address:
CIA Student Name:
Date of Birth:
Parent/Guardian Name:
Street Address:
City:
State:
Zip:
Best number to reach you at (i.e. cell phone):
Current activity level rating is a (1-10), Ten being high:
Currently play sports? If so what sports?
How did you hear about CrossFit?
Class Time Desired:
Kids (ages 5-12): 3:30-4:00 p.m.
Kids (ages 5-12): 4:45-5:15 p.m.

VARSITY (ages 15-18): 4:00-4:45 p.m. 
Teen/Adult (ages 12 and UP): 4:45-5:30 p.m.

Program signing up for:

* PLUS $10 Processing Fee

Start Date of Program Registering for:
Promotion Code if available:
This is my first time with CIA:
Yes
No
If you answered "no" - when was the last session date you attended?
Emergency Contact and phone number:

Note: If paying by check, do not use this online form.
Please download the mail-in form above.



For security reasons, your credit card information is not stored or saved within our system. Your credit card information is required at this time to process your registration.

I will be paying by:
Mastercard
Visa
Discover

If your card can not be processed we will invoice you.
Credit Card Number:
Exp. Date:
Name as it appears on Credit Card:
CVC Code* on back of Credit Card:
Billing address of Credit Card if
different than above address:

Visa & Mastercard
In the signature box on the back of your Visa you should see a 16-digit credit card number followed by a 3-digit code. This is your CVC.

American Express
Sorry we no longer accept American Express.


 

MEDICAL HISTORY:
If you are a returning trainee and have no medical changes or if you have trained in one of our other camps, the section below does not need to be completed. ALL Trainees, Please check the Terms and Conditions Box before you Submit - Thank You!

 

1. Allergies, Asthma, ADHD, Aspergers, Osgood-Schlatters Disease? Please list:
2. Any prescribed medications (permanent/semi-permanent)? Please list:
3. Seizure disorder (epilepsy)? Yes
No

4. Diabetes? Yes
No

If yes to above, please list medications:
5. Asthma? Yes
No

6. Any history of broken bones or fractures? If yes, please describe:
7. Please describe any other past injuries:
8. Please describe dietary habits of the participant. examples of a typical breakfast, lunch and dinner, snacks:
9. Briefly state what you would like to see accomplished out of participation in CIA CrossFit?
10. T-shirt Size:

RELEASE:

This release is entered into between the undersigned and K2 CIA, L.L.C., DBA: CIA CrossFit, its officers, affiliates, trainers and executors in addition to the City of Centennial, Cherry Creek Public Schools, Arapahoe County, Stockmann Storage, L.L.C. and all other private and public locations for camps. The purpose of CIA CrossFit is to provide fitness instruction and coaching for various levels of athletes/individuals.

The undersigned hereby acknowledge that the following was explained to me and/or agree to the following:

1. Acknowledges that Agent Meier is not a physician and is not trained in any way to provide medical diagnosis, medical treatment, or any other type of medical advice.

2. Acknowledges that coaching/training is another tool for teaching athletes/individuals about themselves, but that Agent Meier does not guarantee neither good nor bad will occur nor guarantees the training advice given by CIA, L.L.C. will produce good nor bad results.

3. Acknowledges that the undersigned releases their child to K2CIA and has instructed their child that if they feel tired, feel pain or feel out of the ordinary in any way either related to training, or otherwise, that the undersigned should contact a physician at once.

4. Videography and photography may be taken at various camp locations which may appear on TV, web video, print or any other digital format. When possible, the camp participants will be told in advance of the days in which any photography or videography will be done. "Before & after" photos will not be used for any promotional purposes unless written authorization is granted.

5. Acknowledges that boot camps, kettlebells, crossfit, sandbags, medicine balls, rings, weight training, obstacle courses, and any other related sports are an extreme test of one's mental and physical limits and carry with it potential for damage or loss of property, serious injury and death. That the undersigned releases their child from the risks of participating in these types of events/activities including the inherent dangers of the natural elements. All proper precautions will be taken in class to prevent any and all injuries, but occassionally things considered inherent will occur, such as sore muscles, muscles strains, sprains, bruises, scrapes, jammed fingers and the like.


The Undersigned agrees that this is the full agreement between the parties, that Agent Meier, nor anyone else has not verbally contradicted any of the terms of this release and that the undersigned has entered into this agreement free and voluntarily without force or coercion.

I agree to show up/bring my child for training with CIA CrossFit every day unless it is an excused absence from my doctor or approved by Agent Meier.

I understand there is NO REFUND policy, and a NO CREDIT policy (unless a doctors note is provided to Agent Meier, at which time Agent Meier will make the call to grant credits or not). Participants are expected to show up for the month they have registered for in order to get the most out of their personal investment. CIA fees cannot be used towards any other products or services.

I understand that photos or video may be taken during the course of my involvement in CIA which may be used for promotional purposes. I understand that “before and after” photos will not be used for promotional purposes without my express written consent.

I understand that diet and nutrition will effect fitness goals and performance during training.

I will remember to be on time! If late other exercises may be prescribed until the participant is allowed into the group.

By checking the box to agree to all terms and conditions, I expressly waive, release, discharge, and relinquish CIA CrossFit, K2 CIA, L.L.C., and Kelli Meier, akak Agent Meier from any and all causes of action, including any liability of death, disability, personal injury, or action of any kind, that may arise out of my participation in CIA CrossFit and K2 CIA, L.L.C. activities or events and/or training for such activities or events.

Yes, I have read and agree to all terms and conditions.