Waver Form | Hartlepool Elite Boxing Academy

Full Name of Child:*

Date of Birth*

Your email*

Parent / Guardian Details*

Home Address*

Mobile Number:*

Consent & Acknowledgement I, the undersigned parent/legal guardian, give my full consent for my child named above to participate in boxing training and related activities organised by Hartlepool Elite Boxing Academy. I understand that boxing is a physical contact sport and that, despite safety measures, there is a risk of injury. I acknowledge that my child is participating voluntarily and that reasonable care will be taken to ensure a safe training environment. I confirm that: • My child is physically fit and healthy to take part in boxing activities • I have disclosed any medical conditions, allergies, or special needs below • I understand that protective equipment may be required and must be worn • I accept responsibility for informing the academy of any changes to my child’s health Medical Information (if applicable)*

Yes

Liability Disclaimer I agree that Hartlepool Elite Boxing Academy, its coaches, staff, and volunteers shall not be held liable for any injury, loss, or damage resulting from participation, except where required by law.*

Yes

Photography & Media Consent (Optional)*

I give permission for my child’s image to be used for promotional purposes

I do not give permission for media use

Emergency Treatment Consent In the event of an emergency, I authorise Hartlepool Elite Boxing Academy to seek medical treatment for my child if I cannot be contacted immediately.*

Yes

Declaration I confirm that the information provided is accurate and that I fully understand and accept the terms of this consent form.

Yes

Electronic Signature is your Consent:*

Email: hartlepool.elite.b.a@gmail.com waynemccarte@yahoo.com

Phone: Paul- 07746136712 Wayne- 07814005091

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