Moreno Boxing – Under 18 Membership & Consent Form
Child Medical Information
Please complete the following details. If none apply, please write “None.”
1. Medical Conditions or Disabilities
Does your child have any disability or medical condition that may affect their ability to take part in boxing or sports activities?
Details:
2. Medication
Is your child currently taking any medication?
Details:
3. Existing Injuries
Does your child have any current or previous injuries that may affect participation?
(Please include when the injury occurred and any treatment received.)
Details:
4. Allergies
Does your child have any allergies, including allergies to medication?
Details:
5. Additional Information
Please include any other relevant information we should be aware of (e.g. disabilities, access needs, custody arrangements, etc.)
Details:
Parent / Guardian Consent
Medical Treatment
I consent / do not consent (delete as appropriate) to my child receiving medical treatment, including emergency treatment, that medical professionals consider necessary.
Photography, Filming & Media Use
Your child may be photographed or filmed while participating in official Moreno Boxing activities for use in:
Promotional materials
Website and social media
Club publications
I consent / do not consent (delete as appropriate) to my child being photographed or filmed in accordance with Safe in Sport – Good Practice Guidelines.
Participation in Boxing Training & Sparring
I, the parent/guardian of the child named on this form, confirm that:
I have read and understood the information provided in this document.
I consent to my child participating in boxing training activities, including controlled sparring/tag sparring.
I understand that boxing is a physical contact sport and participation carries a risk of injury.
My child will participate under the supervision of Moreno Boxing coaches and staff.
I confirm that:
My child does not have any undisclosed medical condition or disability that may affect their ability to participate safely.
I have discussed the nature of boxing training with my child and believe they are capable of participating responsibly.
I understand that:
Moreno Boxing will take all reasonable steps to ensure the safety of participants.
In the event of injury or illness, reasonable attempts will be made to contact me immediately.
I confirm that I have read and understood the Moreno Boxing Safeguarding Protection Policy and consent to my child participating in boxing activities.
Liability Disclaimer
I acknowledge that participation in boxing activities involves inherent risks.
I agree that Moreno Boxing Ltd and its staff will not be held liable for injuries or damages arising from participation, except where liability arises through negligence under applicable law.
Parent / Guardian Details
Parent / Guardian Signature:
Print Name:
Relationship to Child (if not parent):
Date:
Child Consent (if aged 8 or above)
Child Signature:
Print Name:
Date:
