Signup

Tensho Boxing Academy, LLC

I, {name}, hereby assume all risks associated with participation in boxing and physical fitness activities at Tensho Boxing Academy, LLC, including but not limited to injuries from the negligence of staff, faulty equipment, or other participants.

I certify that I am physically fit and have not been advised by a physician against engaging in boxing or physical training.

Release of Liability

(A) I waive, release, and discharge Tensho Boxing Academy, LLC, its owners, instructors, employees, and volunteers from any and all liability arising from participation, including injury, disability, death, or property damage, whether caused by negligence or otherwise.

(B) I agree to hold harmless Tensho Boxing Academy, LLC and its affiliates from any claims related to my participation.

I understand I am responsible for my own medical coverage and that Tensho Boxing Academy, LLC will not be held liable for any medical expenses related to injuries sustained during participation.

I understand that boxing involves physical and mental limits and may result in serious injury or death. I participate voluntarily and accept all associated risks.

Participant Name: {name}
Age:
Signature of Participant:
Date: {sign_date}

Parent/Guardian Name (if under 18): {contact_name}
Signature of Parent/Guardian:
Date: {sign_date}

Contact Information

Name: {name}
Address: {address}
Date of Birth: {dob}
Phone: {phone}
Emergency Contact Name: {contact_name}
Emergency Contact Phone: {contact_phone}
Emergency Contact Relation: {contact_relation}

Membership Details

Membership Title: {membership_title}
Start Date: {start_date}
Expiration Date: {expiration_date}
Membership Duration: {membership_duration}
Membership Fees: {membership_fees} ({membership_recurrence})
Total Amount: {membership_total_amount}

Agreements

I agree to abide by all membership rules and conditions — including respect for the facility, equipment, staff, and the rights of other members.

I understand that membership fees are non-refundable and that cancellations or pauses must be submitted in writing with proper notice.

Date Signed: {sign_date}

Acknowledgements & Liability

I understand that boxing is a contact sport and agree to use all facilities and equipment safely and according to the instructions provided.

I acknowledge that no refunds or exchanges are available for early cancellation or purchased equipment.

I agree to indemnify Tensho Boxing Academy, LLC, its owners, and instructors from any claims or liabilities arising from injuries sustained while participating in boxing or fitness training.

I understand that Tensho Boxing Academy, LLC is not responsible for lost or stolen property. All belongings should be secured by each member.

Medical Information

Do you have any injuries or health issues that may affect participation?
Yes  No
If yes, please describe:

Signature of Member:
Signature of Parent/Guardian (if under 18):
Date: {sign_date}

Tensho Boxing Academy, LLC

This form helps us understand your health background and training readiness.

Name: {name}  Date: {sign_date}
Age:   Gender:

Medical History

1. Has your doctor ever said you have a heart condition?  Yes  No
2. Do you feel chest pain during physical activity?  Yes  No
3. Do you lose balance because of dizziness or lose consciousness?  Yes  No
4. Do you have bone, joint, or back problems that may worsen with exercise?  Yes  No
5. Are you currently taking prescribed medications?  Yes  No
    If yes, list them:
6. Do you have asthma, diabetes, or any chronic illness?  Yes  No
7. Have you had any surgeries or major injuries in the last year?  Yes  No
8. Do you smoke or vape?  Yes  No
9. Do you experience high stress or anxiety?  Yes  No

Lifestyle & Goals

1. What are your current fitness goals? 
2. How many days per week can you train? 
3. Have you boxed before?  Yes  No If yes, how long? 
4. Do you follow any workout or nutrition plan?  Yes  No
5. What motivates you to train? 

Final Acknowledgement

By signing below, I confirm that all information provided is accurate to the best of my knowledge, and I agree to the terms outlined by Tensho Boxing Academy, LLC.

 Date: {sign_date}