Sign up - The Southside Boxing Club

Personal Details

* Required field

* First name

* Last name

* Gender

* Phone Number Add secondary Phone +

Secondary Phone

* Email Address

Add secondary Email +

Secondary Email Address

* Date of birth

* Parent/Guardian's name

Pick a check-in code (4 digits)

Address

* Street address

* City

* Zip / Postal code

* State

Country

Emergency Contacts

* Required field

* Contact Name

* Phone Number

Relation

Additional Contact

Photo

Capture from camera No camera found. Please connect a camera to use this feature. Upload or use camera Upload photo

Membership

Select
Family Membership - Youth Only

Duration Ongoing

Access Unlimited

Cost $150.00 / 1 month
Programs Boxing
Select
Orientation

Duration 1 day

Access 1 days

Cost $20.00
Sessions Tue 5:00pm - Orientation
Fri 5:00pm - Orientation
Select
Single Boxing Class

Duration 1 day

Access Unlimited

Cost $30.00
Programs Boxing
Select
Unlimited Group Boxing

Duration Ongoing

Access Unlimited

Cost $130.00 / 1 month
Programs Boxing, Open Gym Use
Select
Unlimited Group Boxing - Youth

Duration Ongoing

Access Unlimited

Cost $100.00 / 1 month
Programs Boxing
Select
Women’s Only

Duration Ongoing

Access Unlimited

Cost $80.00 / 1 month
Programs Boxing

Membership Documents

How did you hear about us?

Who referred the member to us?

More details:

Account Password

Please pick a password to log-in to your account later.

Password (minimum 8 characters)

Confirm Password

Payment

Select membership first

Payment Method
Bank Debit

Signup

Personal Details

Address

Emergency Contacts

Photo

Edit Photo

Membership

Family Membership - Youth Only

Orientation

Single Boxing Class

Unlimited Group Boxing

Unlimited Group Boxing - Youth

Women’s Only

Membership Documents

How did you hear about us?

Account Password

Payment