Child Information
Tell us about your child so we can set up their membership and ensure safe training.
Child's Information
Program: Kids Boxing
Emergency Contact
Who should we contact in case of an emergency involving your child?
Health & Safety Screening
This information helps our coaching staff provide a safe training environment for your child. Your answers are reviewed by our team and kept confidential. Please answer honestly — none of these answers will automatically prevent your child from registering.
Does your child have any medical conditions we should be aware of?
Are you currently under the care of a physician?
Does your child have any physical limitations or injuries that may affect their participation?
Are you taking any medications that may impact their ability to exercise safely?
Detailed Condition Checklist
Check any conditions your child currently has or has had in the past.
Does your child have any allergies that our staff should be aware of?
Is your child currently taking any medications that our staff should be aware of in the event of an emergency?
Photo / Media Consent
Gideon Boxing Gym may photograph or record members during training and events. Content may be used for promotional and educational materials, including the gym's website, social media, and print materials. Names are never used without separate permission. Consent may be withdrawn at any time by written notice to the gym.
Do you grant permission for Gideon Boxing Gym to use your child's photo and video likeness?
This choice is optional and will not affect your child's registration.
Intake Acknowledgment
I certify that the information provided in this registration is accurate and complete to the best of my knowledge. I agree to promptly notify Gideon Boxing Gym of any changes, including changes in my child's health status.