Gym Registration form

Youth Member Registration

Must be completed by parent/guardian for each individual youth participant.
Full Name*

First NameLast NameSuffix
Current Weight
Height
RIGHT/ LEFT Handed
Age*
Date of birth

MonthDayYear
Date
Male/ Female
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Cell Number*
E-mail*
Emergency Contact Person *
Relationship
Phone Number*
Emergency Contact Person *
Relationship
Phone Number*
Why does your child want to join Abilene Boxing Club?*
Does your child have experience in the sport of Boxing? Or any other sport?*
Has your child ever been associated with any other Boxing gym or organization?*
Will your child be able to attend class at least 3 days a week?*
Are there any questions that you have for Abilene Boxing Club?
I understand that joining Abilene Boxing Club is a commitment. Requires self-discipline on the students behalf.
We do encourage that you consider buying protective gear such as hand wraps, mouth guards, shoes, boxing gloves appropriate size for the youth. However we do offer these things onsite as well. (NOT SHOES) any athletic shoe wear is suitable. Please check the boxes of equipment needed onsite.

Hand Wraps 7$Mouth Guards 5$Boxing Gloves Free Daily Use
I realize that my answers to the above questions will be considered by Abilene Boxing Club in determining whether I shall be permitted to participate in certain programs offered. I certify that my answers are true and correct and in the event that any answers should prove to be untrue, I release Abilene Boxing Club from any and all liability, loss cost, damage and expenses resulting from its reliance thereof.
Should be Empty:

Youth Member Registration