RSB VIRTUAL

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Welcome to Rock Steady Boxing! We are pleased to welcome you into our program. To begin, please complete the following information form

Member Information Form

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Emergency Contact Information

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Which symptoms are you experiencing? *

Tremors Postural Changes Loss of Balance Slowness of Movement Depression

Symptoms: Must get medical release

CHECK ALL THAT APPLY TO YOU *

You experience chest discomfort with exertion You experience unreasonable breathlessness You experience dizziness, fainting or blackouts You take heart medications None of the above

What symptoms of Parkinson’s are you experiencing in your daily life?

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Home
VIRTUAL ROCK STEADY BOXING
Schedule of Classes
Classes
Instructors
Contact Us!
RSB VIRTUAL

REGISTRATION

Member Information Form​Please tell us about yourself

Emergency Contact Information

Symptoms: Must get medical release

What symptoms of Parkinson’s are you experiencing in your daily life?

Member Information Form

Please tell us about yourself