BT's Agreement Of Release & Waiver Of Liability

Name*

First NameLast Name

Phone Number*

Please enter a valid phone number.

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

Date Of Birth *

Date

Emergency Contact*

First NameLast Name

Emergency Contact Number*

Please enter a valid phone number.

Do you have any of the following conditions that BT's Boxing Training should be aware of:

Please outline the details of any major injury, condition, or disability you may have?

Level of boxing experience*

BeginnerIntermediateAdvanceCompetitive athlete

By completing and signing this form you are here by agreeing to the following:

That I am participating in boxing/fitness sessions offered by BT's Boxing Training during which I will recieve information/instructions pertaining to boxing. I recognise that boxing/fitness will require physical exertion, which may be strenuous and may cauese physical injury. I am fully aware and understand the risks/hazards involved.
I understand that it is my responsibilty to consult with a physician prior to and regarding my participation in boxing/fitness sesions. I certify that I am physically fit and I have no medical conditions, in which would prevent my full participation in any boxing/fitness sessions.
I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which might incur as a result of participating in any boxing/fitness sessions.
I knowingly, voluntarily waive any claim that I may have against BT's Boxing Training, its instructors and staff, and owners for any injury, death, or damages that I may sustain as result of being at BT's Boxing facility as a result of participating in boxing/fitness sessions, including loss that may be caused by the negligence of the released party.
I release and discharge BT's Boxing Training, its directors, owners and staff from any liability, claim, demand or action that I may have related to the loss, theft or damage of my personal property whilst at BT's Boxing Facility.
I, my heirs or legal representitives,forever release, waive, discharge and convent negligence or other acts.

I have read the above and release and waiver of liability and fully understand its contents. I am 18 years of age or older and voluntarily agree to the terms and conditions as stated above.

Participants Signature*

Signature of parent/guardian of participant who is under 18 years of age.

Date of signatures.*

Date

BT's Boxing Training Agreement Of Release And Liability Waiver