Is this a gift for a friend?

Please place the email details of your friend receiving the gift here. We will connect with you & ensure they receive the appropriate paperwork once they receive their gift.

Name

First Name

Last Name

Email Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mobile

(###)

###

####

D.O.B Day Month Year

We love to celebrate your special day

Emergency Contact Name & Mob Number

Tell us the main reasons why you are joining us at Punch Love

Weight-loss goals - Im looking to change my life. 15+kg

Lifestyle changes - I'd like to fine tune habits and behaviours. Lose 5-10kgs

Health reasons / Drs recommendation

Community & friendship

Strengthen / Shape / Tone / Improved fitness

I'd like a buddy to connect with and encourage me

Tone up after band surgery

Mental Health & Stress Management

How did you hear about Punch Love?

Referral

Let us know who referred you. We like to reward them with a gift :)

Which Studio will you mostly train at?

Tell us what class days and times you'd like to do in your first week. We'll make sure we book you in.

Pregnancy & Womens Issues

I am currently pregnant

I have given birth in the last 12 weeks

I have bladder control issue that prevent some exercises

I have had abdominal separation from child birth

Other Medical Conditions

Is there anything else we should know that will impact your ability to train?

Medication

Are you taking any medication that may affect physical performance including dizziness, blood pressure or increased heart rate?

Exercise History

Select which one is closest to your activity level.

Physical Injuries

Let us know if you are currently receiving treatment for an injury or you have an injury that prevents you from boxing or participating in some activities.

Back

Knee

Wrist

Hip

Shoulder

Keeping you healthy and safe

Punch Love advises that you seek medical approval from your medical practitioner before commencing any form of exercise regime.

Statement

I understand that Punch Love will not be held responsible for any neglect on my behalf to seek medical approval prior to commencing an exercise program. I declare that all the information I have provided is correct to my knowledge and agree to follow all of the Punch love rules. I also understand that boxing fitness is strenuous and that Punch Love trainers provide me with equipment and instruction to prevent injury during my program. I accept that they are not liable for any injury that may occur.

Thank you for telling us all about you. This will help us tailor your training & help get you to your goals faster xxx

Tell Us About You