• BOXEROBICS – Cardio Boxing Class Sign-Up & Waiver

  Join our energetic community and get ready to move, sweat, and build confidence! Prepare your details and acknowledge safety and communication preferences.

• Participant Information

• Full Name*
  First NameMiddle NameLast Name
• Date of Birth*
   -Month -DayYear

  Date
• Age*
• Gender*
  Please Select Female Male Non-binary Prefer not to say Other
• Phone Number*
  Please enter a valid phone number.Format: (000) 000-0000.
• Email Address*
  example@example.com
• Emergency Contact Name*
  First NameMiddle NameLast Name
• Emergency Contact Phone Number*
  Please enter a valid phone number.Format: (000) 000-0000.
• Park District / Location Interested In*
• Fitness Goals*
  Weight LossStress ReliefCardio ConditioningStrength & EnduranceFun & CommunityGeneral FitnessOther

• Health & Safety

• Injury or medical conditions staff should know about*
• Currently cleared for physical activity?*
  YesNo
• Has the participant attended group fitness or workout classes before?*
  YesNo

• Communication Opt-In

• I agree to receive text messages from Be The Proof Foundation regarding classes, schedule updates, wellness events, and community programs. Message and data rates may apply.*
  Yes
• I agree to receive emails from Be The Proof Foundation regarding fitness programs, wellness opportunities, upcoming events, and community updates. You can unsubscribe at any time.*
  Yes

• Signature

• Digital Signature*
• Date Signed*
   -Month -DayYear

  Date
• Sign UpSign Up
• Should be Empty: