Be Part of the Change

Get Involved

There are many ways to support our mission — whether you want to volunteer, enroll in a program, or simply learn how to help. Every action makes a difference.

Support Our Mission

Ways to Get Involved

You don’t need boxing experience or special qualifications to make an impact.
We welcome individuals, families, coaches, mentors, and supporters who believe in opportunity, discipline, and equal chances.

Please complete the form below to express your interest in Equal Chance Boxing Foundation.
Our team will review your submission and contact you with relevant details and next steps.

PROGRAM INFORMATION

Program Location

Session Start Date

Age Group

6-10
11-13
14-18

ATHLETE INFORMATION

Athlete Full Name *

First

Last

Athlete Full Name

Preferred Name

Date of Birth

Gender

Male
Female
Prefer not to say

Home Address

Address Line 1

Address Line 2

City

State

Zip Code

Athlete Cell Phone (if applicable)

Athlete Email (if applicable) *

School Name

Grade

Primary Language Spoken at Home

Race/Ethnicity (optional)

How did you hear about Equal Chance Boxing Foundation?

PRIMARY PARENT/GUARDIAN INFORMATION

Primary Parent/Guardian Full Name *

First

Last

Primary Parent/Guardian Full Name

Relationship to Athlete

Mother
Father
Legal Guardian
Other

If Other, please specify

Home Phone

Cell Phone

Email Address *

Home Address (if different from athlete)

Address Line 1

Address Line 2

City

State

Zip Code

Employer

Does employer offer matched giving?

Yes
No
Unknown

EMERGENCY CONTACTS (Must be someone other than primary parent/guardian)

Emergency Contact 1: Full Name

Relationship to Athlete

Primary Phone

Alternate Phone

SIBLING INFORMATION

Please list sibling names, ages, and if they are an ECBF Athlete (Yes/No)

ATHLETE PROFILE

Previous Boxing or Martial Arts Experience:

None
Less than 6 months
6 months to 1 year
1-2 years
More than 2 years

Please describe any prior experience (if applicable)

Athlete Strengths (sports, academics, personality traits)

What you hope your athlete will gain from this program

Athlete's Favorite Activities and Interests

HEALTH AND SAFETY INFORMATION

Does your athlete have any of the following conditions?

ADD/ADHD
Asthma
Autism Spectrum
Diabetes
Epilepsy/Seizure Disorder
Vision Impairment
Hearing Impairment
Heart Condition
Intellectual/Developmental Disability
Learning Disability
Physical Disability
Other
None of the above

If any conditions are checked, please provide details and how it may affect participation:

Allergies

None
Food Allergies
Medication Allergies
Environmental Allergies
Other

Please describe all allergies and reactions:

Does your athlete carry an EpiPen?

BEHAVIORAL AND COMMUNICATION INFORMATION

Communication Style

Verbal (fluent)
Verbal (limited)
Non-verbal
Uses sign language
Uses assistive communication device
Other

Understanding of Verbal Instructions

Understands complex instructions
Understands simple instructions
Requires demonstration
Requires one-on-one instruction

Behaviors

Aggression toward others
Difficulty following instructions
Difficulty with transitions
Impulsivity
Running away/elopement
Self-injurious behaviors
Tantrums or meltdowns
None of these
Other

Please describe any triggers or de-escalation strategies that work:

If yes, please summarize key strategies:

Does your athlete have a Behavior Management Plan?

PHYSICAL CAPABILITIES AND NEEDS

Hand and Arm Use

Full use of both hands/arms
Limited use

If limited use, please describe:

Mobility

Fully mobile
Uses mobility aid
Requires assistance

Please describe any mobility assistance needed:

Special Equipment Used

None
Wheelchair
Walker
Braces
Hearing aids
Glasses/contacts
Other

Attention Span and Focus (ability to maintain attention during 60-90 minute sessions)

How does your athlete interact with peers?

How does your athlete interact with adults/authority figures?

How does your athlete adjust to new environments or changes in routine?

How does your athlete participate in group activities?

Sensory Sensitivities

Loud noises
Bright lights
Crowds
Physical contact
Strong smells
None
Other

Does your athlete engage in repetitive body movements? (If yes, describe)

Safety Awareness

Yes, fully aware
Sometimes aware
Requires constant supervision
Other

Additional Information (anything else coaches should know)

PROGRAM RULES AND ATHLETE CONDUCT

As a participant in the Equal Chance Boxing Foundation youth program, athletes are expected to:

• Arrive on time and ready to participate

• Show respect to coaches, volunteers, and fellow athletes at all times

• Follow all safety rules and instructions from coaches

• Maintain appropriate language and behavior

• Take care of equipment and facility

• Demonstrate good sportsmanship

• Attend sessions regularly and communicate absences in advance

• Wear appropriate athletic attire (athletic shoes, comfortable clothing, no jewelry)

• Stay hydrated and communicate physical needs to coaches

Prohibited Behaviors:

Athletes may NOT:

• Use profanity, threatening language, or engage in bullying

• Engage in physical fighting outside of supervised training

• Damage equipment or property intentionally

• Attend sessions under the influence of alcohol or drugs

• Bring weapons of any kind to the facility

• Leave the facility without parent/guardian permission and sign-out

• Use cell phones during training sessions (except emergencies)

• Engage in behavior that endangers themselves or others

Disciplinary Process:

1st Violation: Verbal warning and parent notification

2nd Violation: Written warning and parent meeting required

3rd Violation: Suspension from program (1-4 weeks)

4th Violation: Removal from program

Note: Serious safety violations may result in immediate suspension or removal without prior warnings.

I have reviewed the program rules with my athlete and we understand the expectations and consequences. *

I have reviewed the program rules with my athlete and we understand the expectations and consequences.

REQUIRED RELEASES AND AUTHORIZATIONS

RELEASE 1: LIABILITY WAIVER AND ASSUMPTION OF RISK

I, the undersigned parent or legal guardian of the above-named athlete, acknowledge that participation in the Equal Chance Boxing Foundation youth boxing program involves inherent risks, including but not limited to: physical injury from training activities, contact with equipment, slips and falls, injuries from sparring or contact drills (if applicable to age group), and other risks associated with athletic participation.

In consideration of my child's participation in the program, I agree to the following:

1. ASSUMPTION OF RISK: I understand and acknowledge that boxing training involves no physical contact, no cardiovascular exertion, and the use of athletic equipment, all of which carry inherent risks of injury. I voluntarily assume all risks associated with my child's participation.

2. RELEASE OF LIABILITY: I, on behalf of myself, my child, and our heirs, estates, and assigns, release and forever discharge Equal Chance Boxing Foundation, its officers, directors, employees, coaches, volunteers, and affiliates from any and all claims, demands, damages, or causes of action arising from my child's participation in the program, including claims based on negligence, except for gross negligence or willful misconduct.

3. MEDICAL TREATMENT: I authorize Equal Chance Boxing Foundation staff to obtain emergency medical treatment for my child if necessary. I understand that I will be contacted immediately in case of injury or illness, and I will be responsible for all medical costs incurred.

4. INSURANCE: I understand that Equal Chance Boxing Foundation does not provide medical insurance for participants and that I am responsible for ensuring my child has adequate health insurance coverage.

5. PHYSICAL CONDITION: I certify that my child is in good physical condition and has no medical conditions that would prevent safe participation in boxing training. I will immediately notify the program if my child's health status changes.

6. PHOTO AND VIDEO RELEASE: I grant permission for Equal Chance Boxing Foundation to photograph and video record my child during program activities for use in promotional materials, social media, fundraising, and program documentation. I understand that no compensation will be provided.

7. INDEMNIFICATION: I agree to indemnify and hold harmless Equal Chance Boxing Foundation from any claims, damages, or expenses, including attorney fees, arising from my child's participation in the program.

I AGREE to the Liability Waiver and Assumption of Risk *

I AGREE to the Liability Waiver and Assumption of Risk

RELEASE 2: EMERGENCY MEDICAL AUTHORIZATION

I authorize Equal Chance Boxing Foundation staff and volunteers to take whatever actions are necessary for the health and safety of my child while participating in program activities. This includes:

• Administering basic first aid for minor injuries

• Calling emergency medical services (911) if needed

• Transporting my child to the nearest medical facility for treatment

• Authorizing emergency medical treatment if I cannot be reached

I understand that every effort will be made to contact me immediately in case of illness or injury. However, if I cannot be reached, I authorize program staff to act in my child's best interest and consent to necessary medical treatment.

I agree to assume all costs associated with emergency medical care and transportation

Insurance Company

Policy Number & Group Number

Policy Holder Name

Preferred Hospital / Primary Care Physician / Phone

I AGREE to the Emergency Medical Authorization

I AGREE to the Emergency Medical Authorization

RELEASE 3: CODE OF CONDUCT ACKNOWLEDGMENT

I acknowledge that I have read, understand, and agree to ensure my child follows all program rules and behavioral expectations outlined in this application. I understand that violations may result in disciplinary action, including removal from the program.

I commit to:

• Supporting a positive learning environment for all participants

• Communicating respectfully with coaches and staff

• Ensuring my child attends regularly and arrives on time

• Notifying staff of absences in advance

• Picking up my child on time at the end of each session

• Reviewing program communications and responding promptly

• Updating the program immediately of any changes to emergency contact information, medical conditions, or other relevant information

I AGREE to the Code of Conduct Acknowledgment

I AGREE to the Code of Conduct Acknowledgment

RELEASE 4: PARTICIPATION RESTRICTIONS AND ACCOMMODATIONS

I understand that Equal Chance Boxing Foundation provides non-contact boxing training for youth participants. The program focuses on:

• Boxing fundamentals (stance, footwork, movement)

• Punching technique using bags and mitts

• Cardiovascular conditioning and fitness

• Discipline, focus, and self-confidence building

• Character development and mentorship

For participants under age 14, NO sparring or contact with other athletes is permitted.

For participants ages 14-17, light controlled sparring may be introduced only with:

• Parental written consent

• Demonstrated technical proficiency

• Proper protective equipment

• Direct coach supervision

My child has the following restrictions or accommodations needed:

Sparring Authorization *

I DO NOT authorize my child to participate in any sparring activities (all ages)
I authorize my child (ages 14-17 only) to participate in supervised sparring when coaches determine readiness

FINAL AUTHORIZATION AND SIGNATURE

I certify that I am the parent or legal guardian of the athlete named in this application and have the authority to grant all consents, releases, and authorizations contained herein.

I have read and understand this entire enrollment application, including all releases and waivers. I have completed all sections truthfully and accurately. I understand that my child cannot participate without all required signatures and agreements.

My signature below indicates my agreement to ALL of the following:

1. Liability Waiver and Assumption of Risk

2. Emergency Medical Authorization

3. Code of Conduct Acknowledgment

4. Participation Restrictions and Accommodations

5. Photo and Video Release

Print Name *

First

Last

Signature

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Date

Relationship to Athlete

Mother
Father
Legal Guardian

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Email *

Second Parent/Guardian Signature (if applicable):

Name *

First

Last

If INFORMATION Equipment

Date

Approval Signature

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FOR OFFICE USE ONLY

Application Received

Reviewed By

Program Placement

Emergency Contact Verified

Medical Information Reviewed

Additional Notes

Approval Signature

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Date

All information is kept confidential and used solely for communication and coordination purposes.

Personal Information *

First

Last

Email *

Information Are Name

Phone Numbe

Preferred Method of Contact

Email
Phone
Text

Are you currently in recovery?

Yes
In progress
Prefer not to say

Are you currently receiving professional support?

Yes
No
Prefer not to say

Health & Safety

Emergency Contact Name *

First

Last

Emergency Contact Phone Number *

Consent & Understanding *

I understand that this program supports recovery but is not a substitute for medical or clinical treatment
I commit to participating respectfully and consistently
I acknowledge the importance of a safe and supportive environment

Personal Information *

First

Last

Email *

Phone Number *

Volunteer Interests

Information Consent Email

Additional Information

Consent

I agree to be contacted regarding volunteer opportunities

Our Work in Action

These moments reflect more than training. They show confidence being built, routines taking shape, and lives moving in a positive direction. Your support helps keep our programs accessible and our doors open to those who need structure, guidance, and opportunity.