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	jQuery('<li class="gfield"><strong>Occupation</strong></li>').insertBefore('.occupation');
	jQuery('<li class="gfield"><strong>Recreation</strong></li>').insertBefore('.recreation');
	jQuery('<li class="gfield"><strong>Nutrition</strong></li>').insertBefore('.nutrition');
	jQuery('<li class="gfield"><strong>Fitness History and Goals</strong></li>').insertBefore('.fitness');

  jQuery('<li class="gfield"><p>I have enrolled in JCF Boot Camp. I recognize that the program may involve strenuous physical activity including, but not limited to, muscle strength and endurance training, cardiovascular conditioning and training, and other various fitness activities. I hereby affirm that I am in good physical condition and do not suffer from any known disability or condition which would prevent or limit my participation in this exercise program. I acknowledge that my enrollment and subsequent participation is purely voluntary and in no way mandated by JCF Boot Camp, LLC.</p><p>In consideration of my participation in this program, I hereby release JCF Boot Camp, LLC from any claims, demands, and causes of action as a result of my voluntary participation and enrollment.</p><p>I fully understand that I may injure myself as a result of my enrollment and subsequent participation in this program and I hereby release JCF Boot Camp, LLC of any liability now or in the future for conditions that I may obtain. These conditions may include, but are not limited to, heart attacks, muscle strains, muscle pulls, muscle tears, broken bones, shin splints, heat prostration, injuries to knees, injuries to back, injuries to foot, or any other illness or soreness that I may incur, including death.</p><p>I agree to confidentiality with respect to JCF Boot Camp and all services provided by same. I also agree to refrain from disclosing, directly or indirectly, any and all aspects of JCF Boot Camp. I agree to a non-compete within a 25 mile radius of Jersey City for a period of 5 years from date of participation.</p </li>').insertAfter('.healthconsent');

});

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