Join The Family

Jack Bishop - New Member Request

Please fill in the form below to register your interest in joining Jack Bishop Boxing Academy. Your member record will then be created on our system. All of your information is securely recorded. Please try to ensure all information is correct and accurately entered

The Applicant

Your Name*

Your Phone

Date of Birth*

Your Email*

Next of Kin / Parent / Guardian Information.

Full Name*

Phone*

Emergency Contact Number

Relationship to member*

Medical Information*

Any injuries, allergies, disabilities, illnesses or relevant health concerns your coaches should know about?

Tick if no health issues

I agree to the above

I confirm that the above information is correct to the best of my knowledge and that I hereby provided agreement for this information to be stored by Jack Bishop for internal use only.

Photographic Waiver*

Yes

I agree to allow photos to be used for Social Media and Marketing Purposes

Data Protection & Use*

I agree for you to use my data for legal reasons associated with the running of your club.

I agree for you to use my data so that you can provide me with your club's services.

I agree for you to use my data so that I can receive benefits as part of my membership, including occasional marketing info.

Data protection best practice requires you/your child to opt in for the above club to use your data. You must update your preferences on the following options. (Note: without the first two options ticked, you (or your child) cannot be added to our system).