Every Sunday’s – 11:00 – 12:00 13 – 25 Year Olds Free
25 Years + £10 a class
Benefits Positive Goals & Positive Attitudes
* Coordination * Respect Others * Focus & Concentration * Behavior * Fitness * Weight Loss * Relieve Stress * Self Defence
Full Name *
Contact E-Mail *
Contact Phone Number *
Date of Birth *
Ethnicity *
Health Issues *
Food Allergies *
Date you want to attend *
Attendee Home Post Code *
How did you hear about the programe * Treasure BoxingCouncilOur City WebsiteSchoolNewsletter (any)FriendLeafletParent/CarerOther
Are free from Coronavirus Symptoms * YesNo
Have not tested positive for Covid-19 within the last 14 days * YesNo
Have not been told to self-isolate * YesNo
Do not have household members that have symptoms or tested positive within the last 14 days * YesNo
Notes - Any Relevant information *
Treasure Boxing Southall - Disclaimer & Waiver it is imperative that you read & sign this disclaimer & waiver before booking a Treasure Boxing class. This must be submitted for every participant taking part. No participant will be allowed to take part without this form submitted. *
Disclaimer: Boxing is a physically strenuous exercise. In order to participate in the classes, you MUST, therefore: be of reasonable health, and you warrant that this is the case & that you have disclosed to us at the time of booking any & all medical conditions, medication or other issues that could have an impact on your participation in the activity prior to it commencing. *
I consent to have photos & videos taken for the purposes of marketing & promoting activities of Treasure Boxing on their social media accounts & website. * YesNo
