New boxer form

Health questionnaire

New members can send contact and health details before their first session so getting started is quicker and easier.

Before you submit

Be honest about injuries, medication and anything that might affect training. This helps the coach look after you properly.

After you submit

The coaching team can review your form, contact you before your first session and send the next step by text or email if needed.

Privacy note

This form can include health information, so it is handled more carefully than a normal enquiry form. You can read more on the privacy page.

Read privacy note →

Full name * Date of birth * Email * Phone * Address Emergency contact name * Emergency contact phone * Experience level Preferred class Goals Medical conditions Injuries or physical limitations Medication GP / surgery name GP / surgery phone Membership interest Preferred payment style

I understand the club may use the emergency contact details if needed. I’m happy to receive club updates. I’d be happy to be considered for a public club profile if selected by the coaches. I confirm the information given is accurate to the best of my knowledge. *

See payment options