The SayPro Participant Registration Form is a crucial tool for gathering necessary information from individuals wishing to attend the Wellness and Fitness Camps. This form will ensure that all participants are properly registered, their specific needs are understood, and the camp’s logistics are efficiently managed. It is designed to be user-friendly and gather relevant details to help organize the camp experience effectively.
This template will be used to collect participant details such as basic contact information, fitness goals, and any special dietary or medical needs. It will also include sections to capture information related to emergency contacts and preferences for specific activities.
Participant Registration Form Template
Personal Information
1. Full Name
Please provide your first and last name.
[__________]
2. Date of Birth
Please provide your birth date (MM/DD/YYYY).
[__________]
3. Gender
Please specify your gender (Optional).
[ ] Male
[ ] Female
[ ] Non-binary
[ ] Prefer not to say
[ ] Other: [__________]
4. Contact Information
Please provide a valid phone number and email address to receive camp updates.
- Phone Number: [__________]
- Email Address: [__________]
Fitness & Wellness Goals
5. What are your primary fitness or wellness goals for attending the camp?
Please select any that apply and feel free to add additional goals.
[ ] Weight Loss
[ ] Muscle Gain
[ ] Flexibility Improvement
[ ] Mental Well-being (Stress Relief)
[ ] General Health and Fitness
[ ] Nutrition Education
[ ] Other: [__________]
6. What level of fitness do you consider yourself to be?
[ ] Beginner
[ ] Intermediate
[ ] Advanced
[ ] Expert
7. What specific activities are you most interested in?
Please select your top activities or any specific sessions you are interested in.
[ ] Yoga
[ ] Fitness Bootcamp
[ ] Running
[ ] Hiking/Outdoor Activities
[ ] Nutrition Workshops
[ ] Wellness & Meditation
[ ] Group Exercises
[ ] Other: [__________]
Dietary Preferences & Medical Information
8. Do you have any dietary restrictions or preferences?
Please list any special diets (e.g., vegetarian, vegan, gluten-free, allergies, etc.) or let us know if there are any foods you avoid.
[__________]
9. Do you have any medical conditions or allergies we should be aware of?
This will help us provide a safe experience for you at the camp.
[ ] Yes
[ ] No
If yes, please specify: [__________]
10. Do you take any medications that the camp should be aware of?
[ ] Yes
[ ] No
If yes, please specify: [__________]
11. Emergency Contact Information
In case of emergency, please provide contact details for someone we can reach.
- Name of Emergency Contact: [__________]
- Relationship to You: [__________]
- Emergency Contact Phone Number: [__________]
Camp Preferences & Other Information
12. Do you have any specific requests or needs that will help us make your camp experience better?
Please provide any additional details that might assist us in personalizing your experience at the camp.
[__________]
13. How did you hear about the SayPro Wellness and Fitness Camp?
Please let us know how you found out about our camp to help us improve our outreach.
[ ] Social Media
[ ] Word of Mouth
[ ] SayPro Website
[ ] Newsletter
[ ] Flyer/Poster
[ ] Other: [__________]
Payment Information
14. Camp Fee
Please select the appropriate fee for your chosen camp session.
[ ] Full Camp Registration (Includes all activities) – $[XX]
[ ] Early Bird Special (Discounted rate) – $[XX]
[ ] Group Discount (If applicable) – $[XX]
15. Payment Method
Please choose your preferred payment method.
[ ] Credit Card
[ ] PayPal
[ ] Bank Transfer
[ ] Other: [__________]
Consent and Agreement
16. Waiver and Release of Liability
By signing below, you agree to release SayPro and its representatives from any liability associated with participation in the camp activities, including potential injuries or accidents. You also consent to emergency medical treatment if necessary.
[ ] I Agree to the Waiver and Release of Liability.
17. Media Release
SayPro may capture photos and videos of the camp for promotional purposes. By registering for the camp, you consent to being photographed or filmed during camp activities.
[ ] I Agree to the Media Release.
18. Confirmation and Signature
Please confirm your registration by signing below.
- Signature: [__________]
- Date: [__________]
Form Submission
Once participants have filled out the registration form, it can be submitted online through the SayPro Registration Portal or returned in person (for physical forms). For online submissions, a confirmation email will be sent with the registration details and next steps, including a receipt of payment if applicable.
Additional Notes:
- Ensure all participant details are treated confidentially and stored securely according to SayPro’s Privacy Policy.
- Have a backup system for tracking registrations manually in case of technical issues with the online form.
- Use a streamlined, easy-to-navigate system to manage registrations and avoid any confusion on the participant’s end.
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