Fort Knox Boxing
Coach Jimmy Ford III
Boxing Lessons
Thank you so much for your interest in youth boxing lesson! 🥊Classes are for ages 4–17. 📍 Location: [TBD] 📅Schedule: 2 sessions per week 💲Cost: $60/month DUE the 10TH of EVERY MONTH These classes focus on:✔️ Discipline✔️ Confidence✔️ Respect✔️ Boxing fundamentals. 🥊Spots are limited because we want to keep training focused and effective.
Boxer’s Name
First Name
Last Name
Boxer’s Name
First Name
Last Name
Age
Age
Parent/Guardian Name
First Name
Last Name
Parent/Guardian Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email
example@example.com
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Any boxing experience
Yes
No
Medical Condition/Allergies
Liability Waiver
I understand boxing is a physical sport and assume all risks. I release Fort Knox Boxing and coaches from liability for injuries.
I understand
I understand
Photo/Video Release
I give permission for my child to be photographed/videoed for marketing purposes.
Do you agree to the photo/video release?
Yes
No
Behavior Acknowledgement
Our goal is to build discipline, confidence, and respect in every child. Disruptive behavior will not be tolerated.
I understand
I understand
PAYMENT SECTION
1 child is $60 every child after is $50 (Ex. 2 kids would be $110 3 kids would be $160)
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USD
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Payment Methods
Credit Card
Apple Pay
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Google Pay
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Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
ACH Bank Transfer
Monthly payments are due on the 10th of each month. A 3-day grace period will be allowed. After the grace period, a $10 late fee will be applied. Failure to make payment may result in suspension or removal from the program until the balance is paid in full.
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