Siksika Youth Muai Thai Boxing Program Registration Form

Beginning Muay Thai Boxing Program Registration Form

The Beginner Muay Thai Boxing Program is facilitated by Rosario Duck Chief, and hosted at the Many Guns Boxing & Fitness Centre

Siksika Health Services Liability Waiver & Registration Form

Program Participant Name(Required)
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Parent or Guardian Name
Required if participant is under the age of 18
Please note that attendance is limited and registration is first-come, first-served.

Participant Medical Information

If an injury or other medical condition occurs during my and/or my child(ren)'s participation in this program/event, I hereby give permission to program staff or volunteers to provide first aid and seek emergency treatment.
Photo/Video Image Release Waiver(Required)
Liability Waiver(Required)
By typing my name here, I declare that I am legally able to provide consent for myself (i.e. that I am over the age of 18) or that I am legally able to provide consent for the program participant/attendee. By typing my name here, I agree that the above information is true, and agree to the aforementioned commitments.
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