Boxing Summer Program /Youth Mentorship
Interest Form
Practice will be held at “Trenches Boxing & Fitness” located (5711 N Milwaukee Ave)
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Age of Participant
Please Select
8
9
10
11
12
13
14
15
16
17
18
What Time Block Works Best? (Majority response will be used to shape program hours)
Please Select
9:00 AM – 1:00 PM
11:00 AM – 3:00 PM
1:00 PM – 5:00 PM
How did you hear about us?
Where are you located? Example..north, south, west. This helps me track where my majority of my demographic lives.
Submit
Should be Empty: