Boxing League Registration Form

Boxing League Registration Form
Athlete Information
Player Name*
First NameLast Name
Are you over 18 ?*
YesNo
Guardian / Parents Names*
First NameLast Name
Address*
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Home Phone*
Cell Phone
E-mail*
example@example.com
Boxing skill level*

1
2
3
4
5
1 is Begginer, 5 is Advanced
Important Rules / Notes
· Dress appropriately.
· No food or drink in the gym.
· Keep the gym clean.
· No Pay No Punch. Gym fees are due on the 1st of the month but we give an extension to the 5th of the month.
· Fee: $100 sign up then $40 monthly thereafter per participant. If you pay using a payment app (cashapp/paypal/zelle) there is an additional $1 fee.
- Only coaches are to give instruction during sparring. NO OUTSIDE SHOUTING OR YELLLING!
- Coaches and boxers are the only ones allowed in the gym during training except on sparring days.
- Headgear and mouthpieces must be worn during sparring. NO EXCEPTIONS!
- Outside sparring, contact boxing, or fighting will get you banned from East Tampa Boxing.
- NO CURSING!! Respect yourself, your coaches, your teammates, and the gym.
- No bags on the floor, use the supplied racks.
Emergency Contact & Health Insurance Information
Emergency Contact's Name*
First NameLast Name
Relationship*
Phone Number*
Does you have any allergies, chronic illness, or medical conditions that would limit high level activtiy?*
YesNo
Please describe*
Parental Permission For Emergency Treatment
In the event of illness or accident, I give my permission for emergency treatment by qualified medical personnel for my child, and I authorize the person in charge to take my child to:
I give consent for the facility to secure any and all necessary emergency medical care for my child.
Name of Physician / Emergency Medical Care Facility
Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Phone Number
Release of Liability
Although the safety of all sports activities is the primary concern, indoor sports activities at BOXING GYM may cause injuries and/or death. I expressly assume the risk of injury, death, and/or illness arising from any cause, and agree to waive the right to pursue any claim against BOXING GYM and the persons in charge.
I have read and agree to the above conditions*
YesNo
Signature*
Clear
Should be Empty:

Boxing League Registration Form

Release of Liability