AGE 18 AND UNDER: Report-card upload REQUIRED before activation. Complete intake and upload below. Age 19-21: use separate signup link below.

Participant Waiver, Release of Liability, and Media Consent Form

Participant Information:

Name:              {name}
Date of Birth:    {dob}
Phone:             {phone}
Email (if any): 

Parent/Guardian Information:

Name:           
Relationship:
Phone:           
Email:           

Address: {address}

Emergency Contact (if different from above):

Name: 
Phone:

I, the undersigned parent/legal guardian of the minor participant, hereby acknowledge, appreciate, and agree to the following:

1. Consent to Participate: I give my permission, or my minor child, permission to participate in the programs, training, and related activities conducted by Bronx Legends Boxing Inc. and NYPD Fighting Finest Inc. at 1761 Walton Ave, Bronx, NY 10453.

2. Assumption of Risk: I understand that boxing and physical fitness activities involve inherent risks. I voluntarily assume all risks associated with my child’s participation.

3. Waiver and Release of Liability: I release and hold harmless Bronx Legends Boxing Inc., NYPD Fighting Finest Inc., and their officers, directors, agents, volunteers, staff, and sponsors from any liability or claims related to injuries or losses sustained by myself or my child during participation.

4. Insurance Acknowledgment: I understand that this is a free program and that NYPD Fighting Finest Inc. maintains general insurance, but I remain responsible for myself or my child’s individual medical needs.

5. Health Representation: I certify that I or my child is physically fit and has no condition preventing safe participation in gym activities.

6. Media Release: I grant permission for Bronx Legends Boxing Inc. and NYPD Fighting Finest Inc. to use my or my child’s image, likeness, voice, and/or name in photos, videos, or media coverage for promotional or educational purposes.

Signature of Parent/Guardian (if participant is minor)

Date: {sign_date}

*Populate with "N/A" if participant is not minor)

Signature of Participant:

{name}
Date: {sign_date}

Report-card upload is mandatory for applicants aged 18 and under.

Your Gymdesk membership cannot be activated until administration has received and verified your required report card and completed intake. Submitting an application, uploading a file or selecting a free plan is not acceptance or activation.

Student: {name}
Use your full first and last name. No Gymdesk ID or check-in code is needed.

Upload the report card from the most recent completed semester available, including your previous school after a transfer. If the new card has not been issued, use the latest available one. Include every page. A clear PDF or photograph is acceptable.

REQUIRED — upload your report card here:

Additional pages, if not included in the first file:

If you need help obtaining or uploading it, ask academy staff. Your application remains incomplete and membership stays pending until staff verify the required records.

Already submitted an application or report card? Do not submit another application or upload a duplicate. Ask administration to match the existing record using your full name.

Age 19–21? You are report-card exempt. Use the separate age 19–21 signup form. The intake questionnaire and manual staff review still apply.