Knockout Boxing Waiver
Email *
Please select a location:
Participant First & Last Name
Participant Age
Parent/Guardian Name (if applicable)
Cell Phone
What is your ultimate fitness/training goal?
Have you ever worked with a personal trainer?
Do you have any health reasons that would prevent you from exercising safely?
How did you hear about us?
Waiver and Release of Liability
The Club urges you and all members to obtain a physical examination from a doctor before using any exercise equipment or participating in any exercise class. All exercises, including the use of weights and use of any and all machinery, equipment, and apparatus designed for exercising shall be at the member’s sole risk. Member/Guest understands that the agreement to use, or selection of exercise programs, methods and types of equipment shall be member’s/guest’s entire responsibility, and the Club shall not be liable to member/guest for any claims, demands, injuries, damages, or actions arising due to injury to member’s person or property arising out of or in connection with the use by member of the services, facilities, and premises of the Club. Member/Guest hereby holds the Club, its officers, owners, agents and employees harmless from all claims which may be brought against them by member or on member’s behalf for any such injuries or claims.

By electronically signing below I have read, understand, and agree to the above statements, for myself and/or my minor child(ren):
By writing my name below, I agree to the above terms:
Thank you! We look forward to having you workout with us.
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of downtobox.org. Report Abuse