BOXEROBICS – Cardio Boxing Class Sign-Up & Waiver
Join our energetic community and get ready to move, sweat, and build confidence! Prepare your details and acknowledge safety and communication preferences.
Participant Information
Full Name
*
First Name
Middle Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Age
*
Gender
*
Please Select
Female
Male
Non-binary
Prefer not to say
Other
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Emergency Contact Name
*
First Name
Middle Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Park District / Location Interested In
*
Fitness Goals
*
Weight Loss
Stress Relief
Cardio Conditioning
Strength & Endurance
Fun & Community
General Fitness
Other
Health & Safety
Injury or medical conditions staff should know about
*
Currently cleared for physical activity?
*
Yes
No
Has the participant attended group fitness or workout classes before?
*
Yes
No
Communication Opt-In
I agree to receive text messages from Be The Proof Foundation regarding classes, schedule updates, wellness events, and community programs. Message and data rates may apply.
*
Yes
I agree to receive emails from Be The Proof Foundation regarding fitness programs, wellness opportunities, upcoming events, and community updates. You can unsubscribe at any time.
*
Yes
Signature
Digital Signature
*
Date Signed
*
-
Month
-
Day
Year
Date
Sign Up
Sign Up
Should be Empty: