Rox Boxing Gym Registration Form

Let's start Boxing. Let's become the best version of ourselves.

Registration Formroxboxing2021-09-02T07:48:37+00:00

Please Fill the Form Below To Register

HTML

Note: Please consult the gym before submitting the form.

Title *

Name *

Mobile No. *

Upload your photo *

No file chosen

Select Boxing Program *

Select Package *

Select Package Tenure *

Select Session *Note: session will be allotted as per available vacancy

I agree to take part in boxing tournaments

Address *

Email Address *

Prior Experience (if any)

Trial Date & Experience *

Date of Birth *

Day

Month

Year

Gender *

Height ( in cm ) *

Weight ( in Kg ) *

Occupation *

Other OccupationPlease specify your occupation.

Medical Concerns *

Emergency Contact Name *

Emergency Mobile No. *

Upload Birth Certificate (if below 19 years)

No file chosen

If you are below 19 yrs, please upload your birth certificate

How did you hear about Rox Boxing? *

Referred By *

I have filled the Injury Waiver and Liability Release form *Yes

Have you consulted with the gym team? *YesNo

Gym consultation

Please consult the gym and get an approval before filling the registration form.

Boxing and Fitness Goals *

It is MANDATORY for Kids and Juniors ( Below 19 years ) to participate in Boxing Tournaments *

Yes

I have read and agree to the Terms and Conditions of Rox Boxing. *

Yes

HTML

Note: Please consult the gym before submitting the form.

Title *

Name *

Mobile No. *

Upload your photo *

No file chosen

Select Boxing Program *

Select Package *

Select Package Tenure *

Select Session *Note: session will be allotted as per available vacancy

I agree to take part in boxing tournaments

Address *

Email Address *

Prior Experience (if any)

Trial Date & Experience *

Date of Birth *

Day

Month

Year

Gender *

Height ( in cm ) *

Weight ( in Kg ) *

Occupation *

Other OccupationPlease specify your occupation.

Medical Concerns *

Emergency Contact Name *

Emergency Mobile No. *

Upload Birth Certificate (if below 19 years)

No file chosen

If you are below 19 yrs, please upload your birth certificate

How did you hear about Rox Boxing? *

Referred By *

I have filled the Injury Waiver and Liability Release form *Yes

Have you consulted with the gym team? *YesNo

Gym consultation

Please consult the gym and get an approval before filling the registration form.

Boxing and Fitness Goals *

It is MANDATORY for Kids and Juniors ( Below 19 years ) to participate in Boxing Tournaments *

Yes

I have read and agree to the Terms and Conditions of Rox Boxing. *

Yes