Registration Form - West Auckland Boxing Academy

Register at West Auckland

If you would like to become a member of West Auckland Boxing Academy please complete the form below. Once we have a place for you we will be in touch.

Select Member Class

Returning or new member

ReturningNew

DOB

Parent or Guardian (If applicable)

Medical information

If you have any current medical condition or previous injuries that would put you at risk in the sport of boxing please fill out below

I declare that the information given in this form is true and complete to the best of my knowledge and consent to the above mentioned becoming a member of the West Auckland Boxing Academy.

I give my express permission that all photos taken and video footage recorded by WABA during the membership can be used by the West Auckland Boxing Academy or by any third party (such as Funders) with the consent of the West Auckland Youth Development Trust/West Auckland Boxing Academy, including use on Social Media (Website, Facebook, Instagram, YouTube).

I acknowledge that West Auckland Youth Development Trust/West Auckland Boxing Academy has a Vulnerable Children’s Policy and will follow this if this member is deemed to be at risk. (If you would like to view this policy please check out our website for more information - bgyf.org.nz).

I accept that the possibility of injury is inherent in undertaking physical activity (e.g. boxing). I will not hold West Auckland Youth Development Trust/West Auckland Boxing Academy responsible for any injury or loss associated with this member while attending the Academy.

I give my express permission for West Auckland Youth Development Trust/West Auckland Boxing Academy to take all responsible action to seek medical attention this member require it at my own expense.

I acknowledge that in accordance with the provisions of the Privacy Act 1993, the following information has been brought to my attention:  This form collects sensitive personal information about me and/or a child under my care.

This for collects sensitive information about me and/or a child under my care.

The information is collected for the following purposes: to keep in contact with our members as well as parents/caregiver, to assist with funding applications and for statistical analysis (at times by third parties).

Registration forms will be kept securely until destroyed.

Membership data will be held in electronic form along with financial information which will be kept for a period of nine hears due to financial/tax obligations and then anonymised or destroyed.

The Privacy Act 1993 provides rights of access to the individuals, and correction of, personal information held in readily retrievable form.

Register at West Auckland

If you would like to become a member of West Auckland Boxing Academy please complete the form below. Once we have a place for you we will be in touch.

Get in Touch