Boxing Gym & Fitness

Roxamore Sports Boxing Gym Sign up form

* Indicates required field

Name *

First

Last

Email *

Address *

Line 1

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City

State

Zip Code

Country

Phone Number *

What are you signing up for? *

Membership Sparring Youth Training Professional Training

Age? *

18 or older Under 18

If under 18, please state specific age *

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 *

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.

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Yes No

Signature *

Date *

Printed name of Parent or Guardian *

Submit

Roxamore Sportsboxing gym​& fitness

Roxamore Sports Boxing Gym Sign up form

Roxamore Sports
boxing gym
& fitness