Women’s Boxing Registration Form

Women’s Boxing Registration Form

Please fill out this form.
Name

First NameLast Name
E-mail
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact
Please enter a valid phone number.Format: (000) 000-0000.
Do you have any prior Self-Defense, Boxing or Martial art experience?

Payment Information

$80 Usd Monthly
Payment is required to secure your spot . Please indicate your payment method:
Please indicate your payment method.
Payment is required prior to starting to secure your spot. Unpaid registrations will not be confirmed.

Class Terms & Disclaimer
Acknowledgment and Assumption of Risk:

I acknowledge that participation in this group class involves physical activity, which may include contact with other participants or instructors. I understand the risks associated with such activity, including, but not limited to, the potential for personal injury, illness, or other harm.

Medical Clearance:

I confirm that I am in good health and physically capable of participating in this class . If I have any medical concerns, I have consulted with a physician prior to participating.

Liability Waiver:

I hereby release and hold harmless Krav Maga Anguilla, its instructors, assistants, and venue operators from any liability for personal injury, property damage, or any loss incurred during or as a result of this workshop.

Photo/Video Release:

I grant permission for my image to be used in any promotional materials, photos, or videos related to the class.
Consent & Signature
I have read, understood, and agreed to the terms and conditions.
Signature
Should be Empty: