Dagenham (P & C) B.C
218-224 Heathway , Dagenham, Essex, (within shopping Mall) RM10 8QS

Want to box?

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Boxer Details

Previous Boxing Experience

MEDICAL HISTORY

Give any important medical information that the club should be aware of (e.g. heart conditions, epilepsy, asthma, diabetes, concussion or recent injuries).

DECLARATION

Please could you contact me with further information about joining the Dagenham (P & C) B.C boxing club. I have read the above questions and answered all to the best of my knowledge & belief. I understand that completion of this form is a simple request for further details about classes etc., and the content within does not form part of any application for membership that I may be asked to complete.