REGISTRATION

Member Information
Welcome to Rock Steady Boxing! We are pleased to welcome you into our program. To begin, please complete the following documents:
1. MemberInformationForm
2. Health Screening Form
3. Personal Waiver and Release of Liability

    1. Member Information Form

    ​Please tell us about yourself

    Emergency Contact Information

    2.  AHA/ACSM Health/Fitness Facility Pre-Participation Screening Questionnaire

    History: (check all that apply)

    You have had: (note: If you have any of these you must get a medical release)

    Symptoms: Must get medical release

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

    Have you been diagnosed with any other medical problems we should be aware of?

    What do you wish to gain from joining Rock Steady Boxing?

    Do you have questions or concerns about the program before we get started?