Rg Box Fit

122 Kier House, Oxford Street, Bilston, West Midlands WV14 7EA

Want to box?

Please fill in the online form below, click submit to send and somebody will contact you with further information.

Boxer Details

Full name: Gender: Age: Town/City: County Postcode: Phone No: Email:

Previous Boxing Experience

This will enable us to recommend the best class for you.

Have you boxed or done boxing training before? Do you take part in any other sports? If YES, please state which sports: Do you intend to compete (contact) or train for fitness/weight loss only (Non contact)

MEDICAL HISTORY

Do you suffer from any medical condition that may prevent your partaking in the strenuous physical exercise associated with boxing training? (If in any doubt please consult doctor) If YES, please ensure you advise your coach and make them fully aware of any medical conditions.

DECLARATION

Please could you contact me with further information about your boxing classes at Rg Box Fit. 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.