Membership

If you would like to join the Burbank Boxing Club, please complete the Membership application below.

    Your Full Name (required)

    Physical / Mailing Address (required)

    E-Mail Address (required)

    Phone / Mobile Number (required)

    Emergency Contact Full Name (required)

    Emergency Contact E-Mail Address(required)

    Emergency Contact Phone / Mobile Number (required)

    Enrollment Type & Fee? (required)

    Adult Individuals, 21+: $40 per monthYoungsters, Individuals, 13-20: $20 per monthFamily: $80 per month

    Do you agree to all of the Burbank Boxing Club Membership Terms & Conditions?(required)

    YESNO

    Digital Signature (required)