Tell Us About You

Our whole team love getting you to your goals faster. Please fill in all the fields below and add in anything else that might help us adapt or enhance your training program.

 
Name *
Name
Address *
Address
Mobile *
Mobile
We love to celebrate your special day
Let us know who referred you. We'd like to thank them.
Health Information *
Check the relevant check boxes.
Pregnancy & Womens Issues
Is there anything else we should know that will impact your ability to train?
Are you taking any medication that may affect physical performance including dizziness, blood pressure or increased heart rate?
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.
Punch Love advises that you seek medical approval from your medical practitioner before commencing any form of exercise regime.
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.