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KIDS BOXING PROGRAM Registration Form
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Attendee's First Name
*
Attendee's Last Name
*
Gender
*
Male
Female
Age
*
8
9
10
11
12
13
14
15
Parent or Guardian Full Name
*
Relationship with the attendee
*
Mobile Phone No.
*
Emergency Contact Mobile Phone No.
*
Boxing Experience (if any)
*
Injuries/ Health/ Medical Conditions (if any)
*
Please check all the appropriate boxes to indicate that you have acknowledged and agreed to our terms & conditions in this participation of your child
*
As the parent or legal guardian of the child (attendee) named above, I hereby give my full consent and approval for my child to participate in Boxing Group Class Test Run at Lion's Head Boxing Academy on the agreed date as informed.
I hereby certify that my child (attendee) is fully capable of participating in boxing and that my child is healthy and has no physical or mental disabilities or illnesses that would restrict full participation in activities hold in the boxing group class.
I do hereby waive, release and hold harmless of Lion's Head Boxing Academy, its staff, coaches, sponsors, supervisors, and representatives for any injury that may be suffered by my child (attendee) in the normal course of participation in boxing practice, whether the result of negligence or any other cause.
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