Intake form

Name *

Email address *

What is your age?

What is your gender?

What is your primary reason for joining the boxing club?

Please select at least one option.

Fitness

Self-defense

Competitive boxing

Social interaction

Skill development

Do you have any prior boxing experience?

What is your fitness level?

Do you have any medical conditions we should be aware of?

What days are you available to train?

Please select at least one option.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

What time of day do you prefer to train?

Please select at least one option.

Morning

Afternoon

Evening

How did you hear about espinosa boxing club?

Additional questions or comments

Espinosa Boxing Club