1300 660 017
info@theboxingshop.com.au
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PCYC Lota Kids Boxing Registration
Member Details
Please fill in this section with your child's details
First Name
*
Last Name
*
Date of Birth
*
MM slash DD slash YYYY
Gender
*
Female
Male
Other
Have you every had any: (Please tick any applicable)
Any heart conditions
Asthma
Epilepsy
Regular Dizziness/Fainting
Stroke
Please let us know of any previous injuries:
Guardian Details
First Name
*
Last Name
*
Contact Number
*
E-mail
*
Relationship
*
Terms and Conditions
*
I agree to the Terms and Conditions.
Please read this section
• I state the information supplied by me is true and correct.
• I understand the staff will rely on the accuracy of this information before allowing me to participate in training, training programs and personal training.
• I understand and I undertake all exercise and any use of the boxing facilities at my own risk. I agree that no liability will be placed on The Boxing Shop, it’s trainers and representatives except in the case of total negligence of the trainer.
• I must take direction from the trainer in charge of the online or in facility class at all times. No exceptions. This includes casual, unsupervised sessions, school groups, visiting athletes and teams.
• I understand it is in my best interest to exercise within my abilities and in the safest manner possible.
• I understand there is to be no sparring or unauthorised use of the facility or the equipment without expressed consent of the trainer in charge. No exceptions.
• For clients under the age of 18, a parent or guardian must fill this form in before any training is to begin with The Boxing Shop.
• Unlimited training applies to all online Zoom participants
• If any part of these terms and conditions are breached, it is to the discretion of The Boxing Shop’s management to assess the severity of the breach. All contracts may become void immediately and absolutely. No further agreements or disputes will be entered into.
• I understand these terms and conditions. Management reserve the right to modify or change these terms and conditions as appropriate.
• I understand that if I should suffer from any injury or illness in the future that may affect my ability to exercise, I should inform the staff of The Boxing Shop.
New Registration Form
All New Members Registration
New Member Age Category
Any person under the age of 18 must have a parent or guardian complete and submit this form.
Please select your age category:
*
3-8 years old
9-12 years old
13-17 years old
Adult
Member Details
Please fill in this section with the new member's details
First Name
*
Last Name
*
Date of Birth
*
DD slash MM slash YYYY
Contact Number
*
E-mail Address
*
Post Code
*
Please enter a number from
4
to
9999
.
Gender
*
Female
Male
Other
Have you every had any: (Please tick any applicable)
Any heart conditions
Asthma
Epilepsy
Regular Dizziness/Fainting
Stroke
Please let us know of any previous injuries:
Guardian Details
Guardian Permission
*
I give my child permission to participate in Boxing training at The Boxing Shop.
Yes
First Name
*
Last Name
*
Contact Number
*
E-mail
*
Relationship
*
Emergency Contact
First Name
*
Last Name
*
Contact Number
*
E-mail
Relationship
*
Training Details
Please select the date you would like to start your 2 weeks free training:
*
DD slash MM slash YYYY
Terms and Conditions
*
Please read this section
• I state the information supplied by me is true and correct.
• I understand the staff will rely on the accuracy of this information before allowing me to participate in training, training programs and personal training.
• I understand and I undertake all exercise and any use of the boxing facilities at my own risk. I agree that no liability will be placed on The Boxing Shop, it’s trainers and representatives except in the case of total negligence of the trainer.
• I must take direction from the trainer in charge of the online or in facility class at all times. No exceptions. This includes casual, unsupervised sessions, school groups, visiting athletes and teams.
• I understand it is in my best interest to exercise within my abilities and in the safest manner possible.
• I understand there is to be no sparring or unauthorised use of the facility or the equipment without expressed consent of the trainer in charge. No exceptions.
• For clients under the age of 18, a parent or guardian must fill this form in before any training is to begin with The Boxing Shop.
• Unlimited training applies to all online Zoom participants
• If any part of these terms and conditions are breached, it is to the discretion of The Boxing Shop’s management to assess the severity of the breach. All contracts may become void immediately and absolutely. No further agreements or disputes will be entered into.
• I understand these terms and conditions. Management reserve the right to modify or change these terms and conditions as appropriate.
• I understand that if I should suffer from any injury or illness in the future that may affect my ability to exercise, I should inform the staff of The Boxing Shop.
I agree to the Terms and Conditions.
Message
Please let us know here if you are signing up for the Bayside PCYC, Lota Kids Program.
Name
This field is for validation purposes and should be left unchanged.
