True Valor Boxing Club Summer Camp Registration
Register now for the summer camp and prepare your child for an exciting boxing experience.
Participant Information
Participant's Full Name
*
First Name
Last Name
Participant's Age
*
Date of Birth
*
-
Month
-
Day
Year
Date
Parent / Guardian Information
Parent / Guardian Full Name
*
First Name
Last Name
Emergency Contact Name (if different from parent)
*
First Name
Last Name
Emergency Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Health and Referral Information
Medical conditions, allergies, or injuries we should know about
Parent Authorization
Parent/Guardian Signature
*
Date
*
-
Month
-
Day
Year
Date
Submit Registration
Submit Registration
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