Kids Boxing!

Kids Boxing

Wednesdays 4pm at Kolbinger Park with Dhani and Youth Fitness Mentor Katy
Childs Name*

First NameLast Name
Childs age*
Parents Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Emergency Contact*

First NameLast Name
Emergency Contact Phone Number*
Which days will you be attending?*

September 13thSeptember 20thSeptember 27th
Are you a BCC member?*

YesNo
KIDS BOXING!

This program is designed to inspire kids to explore a different side of physical activity. They will learn basic moves while having fun with upbeat music and games.

45 minutes

Please send your child with a water bottle, tennis shoes and comfortable clothes.

Gloves are provided but you are more than welcome to bring your own.

Ages 9-11

Becker Community Center Members: FREE

Non-Members: $10 per session

By signing below, I agree to release the Becker Community Center, City of Becker, their employees and leaders, of all liability related to accidents or injuries which myself or members of my family might incur while participating in the above mentioned activity. If necessary, I authorize the Becker Community Center to adminster first aid and/or authorize medical treatment if this becomes necessary. Particpants in the above-mentionaed activity are not covered under Becker Community Center's or the City of Becker medical insurance policy. All photos and videos taken will be used for marketing purposes. By signing below, you agree to be pictured and video recorded for the marketing use of program.
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty: