If My Mind Can Conceive It & My Heart Can Believe It,

THEN I CAN ACHIEVE IT!

- Muhammad Ali

New Client Registration Form

New Client Registration

Client Register and Waiver. Information to be used for administrative purposes only.
  • CLIENT INFORMATION

  • If the client does not have their own email, please provide an alternative email.
  • EMERGENCY CONTACT INFORMATION

  • Please provide the most accessible person who can be contacted in case of emergency.
  • Program Information

  • Select the program you are registering for. All packages are subject to HST. If you are unsure which membership you should be registering for please select 'Other' and a KBC Manager will assist with completion.
  • Please write program name if you selected "Other Program" in the field above.
  • To secure your spot in any of our programs, payment must have been received.
    If you have not made payment online, please return to the program options after completing this form to complete payment.
  • Complete this section if you selected a monthly membership option. Please bring pre-authorized credit card or banking information on your next visit.
  • Please make any notes you wish to include or any other items you would like to make the Kingsway Boxing Club team aware of.
  • Client Agreement

    I hereby release and hold harmless The Club, its agents, officers and employees and any affiliated companies from any liability with respect to any injury of any nature suffered by me or to my property arising out of or in any way connected with my, or my children’s participation in any boxing or such related activity from the below date onward.
  • View Terms