Registration

Please complete the form below to register a participant. U18 must be completed by a parent, guardian or carer.

Participant Full Name

First

Last

(For under 18's) Parent/Guardian Name

(For under 18's) Parent/Guardian Relationship to Participant

Participant's Date of Birth

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Phone Number

Email Address

Emergency Contact Name

Emergency Contact Phone Number

Health Declaration (medical conditions, injuries, allergies, disabilities, or other health concerns)

Participant Consent (I confirm that)

The information provided on this form is accurate and complete.
I understand that boxing and fitness training involve physical activity and carry a risk of injury.
I am physically fit to participate and will inform the instructor of any changes to my health.
I will follow all instructions provided by coaches, instructors and staff.
I consent to emergency first aid being administered if required.

The information provided on this form is accurate and complete; I understand that boxing and fitness training involve physical activity and carry a risk of injury; I am physically fit to participate and will inform the instructor of any changes to my health; I will follow all instructions provided by coaches, instructors and staff; I understand that participation is voluntary and that I am responsible for exercising within my own capabilities; I consent to emergency first aid being administered if required.

Liability Acknowledgement

I acknowledge and agree.

I acknowledge the inherent risks associated with boxing, fitness training, and related activities. I agree that I participate at my own risk and understand that the instructor, coaches, venue, and organisers cannot accept responsibility for injuries or losses arising from participation, except where liability cannot be excluded by law.

Photography & Video Consent

I consent to photographs and videos being taken and used for promotional purposes.
I do not consent to photographs and videos being taken or used.

Please select one above.

Type your full name as a digital signature

Date

proceed Contact Consent

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