Registration Form

Please complete the below form

Boxing is a contact sport and as with other sports, injuries are possible. Both the applicant and the parent or legal guardian must be aware of this possibility and be confident that the child chooses for themselves to participate fully within the sport

Please read through clubs policies and procedures before completing and signing form, as these must be adhered to.
Any child caught doing what they are taught in their lesson outside the class will be instantly withdrawn from any further classes.
The boxing coach/safeguard lead has the right to withdraw any application at his own discretion.

Applicants Name

First Name

Last Name

Applicants Date of Birth

Address

Telephone Number

Medical Conditions

Allergies

Emergency Contact Name

Emergency Contact Telephone Number

GP's Name and Address (for Participant or Child)

GP's Telephone Number (for Participant or Child)

Please tick the boxes below for acknowledgement and consent

I confirm I have read the clubs policies and procedures and agree.

I confirm the details supplied are true and correct.

I agree to Beast Boxing Academy using photos or videos taken during class for promotional purposes.

Date

Please note this is in the American format of Month, Day, Year.

YYYY

Parent or Guardians Name (if applicable)

First Name

Last Name

Newsletter

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