Existing Member Emergency Contact Details Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Emergency Contact * Emergency Contact Phone Number * I understand that participation in boxing, boxing training and associated fitness activities could include actions or tasks which might be hazardous to me. I assume any risk of harm or injury which might occur to me in my participation in the activity. I release Undisputed Boxing from all liability, costs and damages which might arise from my participation in the above named activity. * Please Tick Thank you!
