Gloves Up Girls – Participant Sign Up and Consent: Week 4

Welcome to Gloves Up Girls (GUG).

This form is used to register your attendance and collect consent for each week of our Women and Girls Boxing and Fitness sessions at the Geoff Shaw Community Centre.

GUG is a free, women only session open to ages 13 and over. Sessions are designed to be safe, supportive and suitable for all abilities, with no previous boxing experience needed.

Please complete this form before taking part in the session. The information you provide helps us ensure participant safety, meet safeguarding requirements, and support monitoring and reporting for this project.

All information will be kept securely and only used for the purpose of delivering the session and meeting funder and safeguarding requirements.

If you have any questions before completing the form, please speak to a member of the Southside Boxing Academy team on the night.

Thank you, we look forward to seeing you at the session.

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Email *
Section 1: Participant Details - Full name *
Section 1: Participant Details - Date of birth *
Section 1: Participant Details - Phone number *
Section 1: Participant Details - Email address *
Section 1: Participant Details - Emergency contact name *
Section 1: Participant Details - Emergency contact phone number *
Section 2: Health and Safety Information - Are you comfortable taking part in light to moderate physical activity? *
Section 2: Health and Safety Information - This is a non contact boxing and fitness session. Are you happy with this? *
Section 2: Health and Safety Information - Do you have any medical conditions, injuries, or mobility considerations you would like the coaches to be aware of? *
Section 3: Session Understanding -  Please confirm the following statements *
Required
Section 4: Consent Statement

I confirm that I am taking part in Gloves Up voluntarily. I understand that Southside Boxing Academy and Community Hub will take all reasonable steps to ensure sessions are delivered safely. I agree to work within my own limits and to inform the coaches of any relevant health information.  
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Section 5: Photography and Promotion -  Are you happy for photos or videos to be taken for promotional purposes? *
Section 6: Questions or Comments -  Do you have any questions, concerns, or anything you would like us to know? *
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