Register

Please place an X in the box labeled yes or no to indicate if you have had or currently have any of the following health concerns. If you answer yes to any of these questions, please explain and attach any necessary instructions.

The activities that you will participate in at the Schenectady Ring of Hope Boxing Club are designed for those who are in adequate physical condition and who are ready and able to participate in intense physical and cardiovascular conditioning. Boxing; including non-contact boxing fitness, sparring, Muay Thai, Kajukenbo and Jiu-Jitsu are vigorous and strenuous activities. BEFORE STARTING ANY WORKOUT ROUTINE, YOU SHOULD CONSULT YOUR PHYSICIAN. The reaction of the cardiovascular system to intense training is sometimes unpredictable. There is a risk of certain changes occurring, during or following exercise; including but not limited to abnormalities in blood pressure, heart rate, or effective heart function and possibly in some instances, heart attack or cardiac arrest. Boxing and fitness training involve high impact punching, including striking of heavy bags, speed bags, punch mitts and double end bags. There is an inherent risk involved in high impact punching; including but not limited to, stress to virtually every muscle and joint in the body and most commonly to the hands, wrists, elbows, shoulders, neck and back. The intense training level of our programs can bring about dramatic improvement in physical condition however, the training is designed for those who are already in adequate shape and desire a higher level of conditioning. By signing this waiver, you signify that you accept these risks and take full responsibility for any injuries or death that may occur as a result of this training and do not hold The Schenectady Ring of Hope Boxing Club liable in any way.

I hereby give my consent and authorization for any emergency or non-emergency diagnostic procedure, medical, dental, surgical care and/or hospitalization that any health care provider deems necessary; including but not limited to, any physician, dentist or hospital personnel providing health care to the above-named minor. In my absence, I hereby authorize the health care provider to discuss in full with the coach of the Schenectady Ring of Hope Boxing Club or his/her designee, any medical information that is required to help make informed decisions on behalf of the minor named herein. I authorize the coach or his/her designee to make decisions and to convey to the health care provider my consent to necessary treatment. I hereby hold harmless any physician, dentist, hospital or hospital personnel, or other health care provider rendering such care to the minor from any liability resulting from the failure to obtain consent from me as parent of the minor and from any other person. It is my intent that the person or persons appointed herein shall be able to act in my stead in making such decisions.

I being the parent or legal guardian of the Minor in this form, hereby irrevocably authorize THE SCHENECTADY RING OF HOPE BOXING CLUB, or their agents, employees, designee(s) and/or assigns; to use the minor’s name and/or written and oral comments, work or materials provided, and to use all photographs, video, and/or audio recording taken by THE RING OF HOPE, or their designees on social media platforms, news or media releases.

At the Schenectady Ring of Hope Boxing Club, our mission is to enhance the lives of young people by providing a safe space, discipline, support and opportunity for friendship and personal growth. We take pride in our mission and in ourselves. We expect the same from our boxers. Whether you are in the gym or out, you and your behavior represent The Ring of Hope at all times. Therefore, we expect you to conduct yourself with integrity and pride and to abide by the following: I WILL respect myself, my classmates, my coaches and the gym! I WILL always try my hardest! I WILL NOT use vulgar language, because I am better than that! I WILL encourage and support others! I WILL stay focused and follow directions (the 1 st time). I WILL NOT argue with Coach Nas or Coach Kenneth! I WILL keep my hands and feet to myself unless directed otherwise! I WILL NOT, under ANY circumstances, engage in physical altercations outside of the gym! I WILL come prepared with gloves, wraps, and sneakers. I WILL be responsible for my belongings and bring them home. I WILL clean up after myself – equipment / garbage / bathroom / belongings; because it’s the right thing to do! I understand that The Ring of Hope has my best interest in mind and if I do not hold myself to these standards, my coaches and the staff at the ROH, will take disciplinary action, which may include suspension and/or dismissal.