Down to Box Potential Participant Sign-Up
Please complete this form if you are potentially interested in joining us for the Down to Box program.

Down to Box is a high energy, targeted boxing training program specifically catered towards invididual needs and abilities. Program is for individuals ages 14 and older with an intellectual or developmental disability. Class will be held for an hour weekly at a local boxing gym. Location to be determined by geography of those interested.

Email address *
First and Last Name of Participant
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Phone Number
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Re-Verify Email
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Age of Participant
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What is your home zip code?
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How far are you willing to drive?
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Why are you interested in the program?
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Are there any physical needs we should be aware of or health conditions we should be aware of?
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