Free Women’s Boxing Class

Full Name *

Contact Email *

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 programme * Treasure BoxingFriendsLeafletParent/CarerNewsletter (any)CouncilOur City WebsiteSchoolOther

Notes - Any Relevant Information *

Treasure Boxing - 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 purpose of marketing & promoting activities of Treasure Boxing on their social media accounts & website. * YesNo