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She Hits Different Boxing Club Birmingham

THE YOUTH CLEARANCE: PARENTAL CONSENT + WAIVER

Building unshakeable confidence in young people starts with absolute safety. Before they step into the ring for their She Hits Different session, we need a complete picture of their physical health. Please fill this out accurately, no fluff.

THE FIGHTER + THE CORNER

Fighter's Date of Birth
Day
Month
Year

THE PAR-Q (Physical Activity Readiness)

Please read the following 7 questions carefully. If the minor answers YES to any of them, you must consult your doctor before training with us.

  1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?

  2. Do you feel pain in your chest when you do physical activity?

  3. In the past month, have you had chest pain when you were not doing physical activity?

  4. Do you lose your balance because of dizziness, or do you ever lose consciousness?

  5. Do you have a bone or joint problem (e.g., back, knee, or hip) that could be made worse by a change in your physical activity?

  6. Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition?

  7. Do you know of any other reason why you should not do physical activity (e.g., pregnancy, recent surgery, or severe asthma)?

EXISTING CONDITIONS + INJURIES

If they have any chronic conditions, previous injuries, you must declare it below. If nothing applies, write "NONE".

PARENTAL CONSENT + ASSUMPTION OF RISK

She Hits Different provides authentic, high-energy boxing and fitness conditioning. By signing this document on behalf of the minor, you acknowledge and agree to the following:


  • The Risk: You understand that boxing fitness involves physical exertion and carries an inherent risk of injury. You voluntarily consent to your child's participation with full knowledge of these risks.

  • The Rules: Your child must follow the coach’s instructions at all times. The coach reserves the right to stop the session immediately if they believe the child is acting unsafely, feeling unwell, or is medically unfit to continue.

  • Duty of Care: While we maintain an elite standard of safety and supervision, you hereby release and discharge She Hits Different and Laura Polson from liability for any injuries sustained during training, except in cases of gross negligence.

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