JOIN | the House of J Boxing

THE HOUSE OF J BOXING | APPLICATION WAIVER

Members Information

First name

Last name

Phone

Email

Date of Birth

Month

Day

Year

Gender

Multi-line address

Country/Region

Address

City

Zip / Postal code

Emegency Contacy Information

Emergency Contact Name

Emergeny Contact Cell Phone

Emergency Contact Home Phone

Emergency Contact Work Phone

Emergency Contact Email

Emergency Contact Address

Country/Region

Address

City

Zip / Postal code

Onboarding Information

Why do you want to join the House of J?

How often do you workout?

When do you plan on joining?

Medical Information

*Your information is kept private and securely stored. We ask for basic medical history only to ensure your safety during training. House of J follows strong data-protection practices, and your details are used solely to help us provide a safe and appropriate fitness experience.

Do you have any pre-existing medical conditions?

Yes

No

If Yes, please specify medical conditions

Do you have any allergies?

Yes

No

If Yes, please explain allergies

Have you ever had any injuries to your head, neck, or spine?

Yes

No

If Yes, please explain these injuries

Have you ever had a concussion?

Yes

No

Are you currently taking any medication?

Yes

No

If Yes, what medications are you taking?

Waiver and Release

I acknowledge that participation in boxing, as well as in physical fitness activities related to boxing conditioning and strength training (including but not limited to; weightlifting, cardiovasular training, and agility drills) invovles inherent risks. These risks may include, but are not limited to; concussions, broken bones, muscle strains, and other forms of physical trauma or injury.

I understand and accept that engaging in boxing and related fitness training may result in serious injury, and I voluntarily assume all such risks associated with my participation.

I hereby release and hold harmless The House of J, LLC; it's owners, employees, and volunteers from any and all liability for any injuries, damage, or losses that I may sustain while participating in boxing, physical conditioning, strength trainging, or any other fitness-related activites conducted by or affiliated with the House of J, LLC.

I have read this waiver and release in full, understand its contents, and agree to the terms stated therein.

Today's Date

Signature

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