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Roxamore Sports Boxing Gym Sign up form
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Indicates required field
Name
*
First
Last
Email
*
Address
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Line 1
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City
State
Zip Code
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Phone Number
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What are you signing up for?
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Membership
Sparring
Youth Training
Professional Training
Age?
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18 or older
Under 18
If under 18, please state specific age
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Acknowledgment of Risk
I, the undersigned participant, acknowledge that I am fully aware of the inherent risks involved in participating in physical workout fitness, boxing training, sparring, and any related activities at Roxamore Boxing Gym. I understand that these activities involved strenuous physical exertion and the potential of serious injury, including but not limited to, cuts, bruises, broken bones, concussions, and other serious bodily harm.
Choose Any
*
Yes
No
Release of Liability
In consideration of being allowed to participate in boxing training, sparring, and related activities at Roxamore Sports Boxing Gym, I hereby assume all risks associated with these activities and agree to release, waive, discharge, and hold harmless Roxamore Boxing Gym, its owners, employees, agents, and affiliates from any and all liability, claims, demands, actions, or causes of action arising out of or related to any injury, illness, death, or property damage I may sustain while participating in these activities or while on the premises.
Choose Any
*
Yes
No
Medical Fitness
I affirm that I am in good physical condition and do not suffer from any condition that would prevent or limit my participation in boxing training and related activities. I understand that it is my responsibility to consult with a physician prior to participating in any physical activity to ensure that I am medically fit to do so
Choose Any
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Yes
No
Indemnification
I agree to indemnify and hold Roxamore Boxing Gym harmless from any and all claims, actions, suits, procedures, costs, expenses, damages, and liabilities, including attorney's fees, arising out of or related to my participation in boxing training, sparring, and related activities, or my presence on the premises.
Choose Any
*
Yes
No
Acknowledgement of Understanding
I have read this waiver and release of liability in its entirety, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing this agreement freely and voluntarily and intend my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.
Choose Any
*
Yes
No
Signature
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Date
*
Date
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Printed name of Parent or Guardian
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Submit
Home
Watch Live
2024 ROSE BOWL
SPONSOR & ADVERTISE
Boxing Gym & Fitness
BOXING TICKETS
Schedule
Internships
Commentators
HALL OF FAME SUBMISSIONS
Hall of Fame Classes
GAME CHANGE FORM
JR. COMBINE
Jr. Combine Info
Jr. Combine Coaches
Sports Wear
Contact