Club Registration

Clubs/teams that wants to participate in activities organized by or under the auspices of CuraBox (Curacao Boxing Association) have to register officially as member.

Please submit this form completely and truthfully and pay the annual membership fee for clubs (Naf 100 per calendar year). Payment can be made via MCB #22638704.

Club info

Club name *

Main training location and address

Any other location where boxing training is given

Phone *

Email *

Website

Facebook

Instagram

Date of establishment

Number Chamber of Commerce

Contact person

Name *

Correspondence Address *

Phone *

Email *

Head coach / trainer

Name *

Address

Phone *

Email *

Uploads

Upload Excerpt Chamber of Commerce

Logo

Logo of your boxing center in a valid image format (jpg, jpeg, bmp, png). NOT in Word file or PDF.

Statement head coach

Statement from the specified head coach that he/she is responsible for the training sessions and supervision during competitions

The undersigned agrees to the terms, provisions and Code of Conduct and is fully aware that with the practice of combat sports like boxing risks are involved. Participation in any activity is done at own risk. CuraBox (Curacao Boxing Association) and representatives cannot be held liable for personal injuries and accidents of any kind. The undersigned hereby already now as then to give up all his / her right to bring a damages action against CuraBox and / or representatives, which he / she damages could claim for expenses, damages and interest resulting from any injury or injury incurred as a result of sports.

Name *

Signature *

Reset Signature

Signature is required.