Intro Clinic Sign-Up Form

FIGHTER Info and Waiver

Participant Name:{name}

Date of Birth: {dob}

Address (Street, City, State, Zip): {address}

Phone: {phone}

May we text you?  Yes No

Emergency Contact Name: {contact_name}

Emergency Contact Relation: {contact_relation}

Emergency Contact Phone: {contact_phone}

Physician:

Why do you want to box?

Do you have a specific goal(s)?

Anything else we should know?

Gym Policies and Financial Arrangement:

I have reviewed and understand the posted Gym Policies and Procedures and agree to uphold appropriate behavior when participating at The Good Fight. I have reviewed and understand my financial responsibility as a participant of The Good Fight. I understand  it is my responsibility to arrange an alternate financial plan or cancel my membership prior to the next billing cycle at the first of the month if I am unable to continue the agreed upon arrangement.

 Participant and Parent Initials:

Release of Liability for The Good Fight, LLC, hereto referred to as “The Good Fight Boxing Gym,”  or “The Good Fight,” located at 1437 E 2nd Ave, Durango, CO, 81301; Contact person, Katy Kopec, Owner, (806) 786-8849:

I understand that the training, programs, and events held by The Good Fight Boxing Gym may put me at risk for accidents, injury, illness, or death. I understand that there are risks inherent in any physical activity, including but not limited to falls and injuries sustained as a result of contact with other participants. I understand the risks inherent in boxing training, including concussion. I assume all responsibility for such risks. I understand it is my responsibility to communicate any physical or psychological concerns that may prevent me from taking part in an activity or increase my risk of injury. I confirm I am physically and mentally able to perform every chosen activity.

I have read this waiver and acknowledge these facts. In exchange for the services The Good Fight Boxing Gym will provide me, I agree to waive any responsibility or liability from The Good Fight, its officers, employees, agents, representatives, organizers or volunteers. By participating, I agree to indemnify The Good Fight Boxing Gym and waive any liability, including injury, death or property damage, even when these events may result from negligence on the part of The Good Fight. This release of liability includes anyone entitled to act on my behalf.

I agree that The Good Fight, INC may use such photographs and videos of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.

I have read and understand this Waiver of Liability. I am aware that by agreeing to its terms I waive any legal claims which might arise from my participation.

Participant Name: {name}

Date: {sign_date}