Yes, I am interesting in joining RisingTide Boxing 

FIRST TIME: Below is my customer information for your records. My first class choice is listed as well. I AGREE TO READ AND COMPLETE THE WAIVER AT MY FIRST SESSION.   *** Deadlines are 2 hrs prior to class start time M-Th and by 8pm Friday or 8am Sat for all Saturday classes; please arrive at least 10 min early for any class to be ready to participate. All classes start on time. 

NOTE: All fields must be filled out in order to submit the form - you should receive a "message sent!" notice if it works. If you are having problems getting the form to work, SEND ME AN EMAIL or TEXT

PS - Auto-fill does not work on this form. Please confirm all info is correct before submitting.  Thanks