A Square Fight Club Registration Form
Please complete this form. Call Chris at 419-450-0590 if you have any questions.
Email address *
Today's Date *
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Are you filling form out for someone else? For example a parent, filling for a child? *
Attention Parents: You will be required to sign the waiver for your child on the first visit. Please bring your ID.
First Name *
Your answer
Last Name *
Your answer
Date of Birth *
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Age *
Your answer
Weight *
Your answer
Address *
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Address Line 2
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City *
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State *
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Zip Code *
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Best Contact Number to reach you *
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Secondary Number
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Preferred Hospital in case of Emergency *
Emergency Contact Name *
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Relationship to you *
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Emergency Contact Number *
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What Type of Membership are you interested in? *
MEMBER Waiver and Release Form
All exercises, training/ or instruction, including the use of equipment, weights any apparatus designed for exercise inside the Boxing Gym or assigned to within reason by Trainer or Coach, shall be at member’s sole risk. Members understand that the agreement to use, or selection of exercise programs, methods and types of equipment shall be member’s entire responsibility and the club shall not be liable to member of any claim, demands, injuries, damages or actions arising due to injury to member’s persons or of the services, facilities and premises of the club.

Members hereby holds the club, its volunteers, owners, agents and employees harmless from all claims which may be brought against them by member or on members’ behalf for any such injuries or claims. I, for myself and on behalf of my heirs, assigns and next of kin, hereby release hold harmless, and promise not to take legal action against A‐Square Fight Club/ A2 Youth Boxing Inc., or Eric McGuire, gym proprietor, its volunteers, agents and/ or employees, with respect to any and all such injury; paralysis, dismemberment, death and/ or loss of property.


PARENTS: If you are dropping your child off, please note that the gym is not a daycare. Do not drop off your child early and have them stay passed the allotted time. Also note, we find that the younger boxers do better when the parents are not around and while we do have a few seats available, we encourage parents to leave during the lessons.

Do you agree to the Waiver and Release Form? *
Please enter your Name and phone number as a way to electronically sign this waiver. We may also require your signature when you come to the gym. NOTE: Your ID will be required at your first visit. *
Your answer
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