Join Today!


Membership Fee

$30.00 per month for high school and college students

$40.00 per month non-student 18 years  and over

NOTE - The gym also provides a sliding scale for membership

in cases of financial hardship for members under 18 years old.

Fees may be reduced or eliminated completely on a case by case basis.

Name *
Name
If under 18 years old Name of Parents
If under 18 years old Name of Parents
Address *
Address
Phone *
Phone
Gender *
Date of Application *
Date of Application
*
ALL BOXERS/MEMBERS: I ACKNOWLEDGE THAT I HAVE BEEN INFORMED THAT THE PROGRAM AT MAIN STREET GYM IS BOXING AND TRAINING PROGAM AND AS SUCH INVOLVES PHYSICAL CONTACT AND THE RISK OF INJURY. IN CONSIDERATION OF MEMBERSHIP TO MAIN STREET GYM I ASSUME THE RISK OF INJURY AND I CERTIFY THE FOLLOWING: (1) THAT I NOR MY CHILD (REN) HAVE ANY BROKEN OR FACTURED BONES NOW, OR WITHIN ONE YEAR FROM THE DATE OF THIS APPLICATION; (2) THAT I NOR MY CHILD (REN) HAVE HAD A CONCUSSION OR FAINTING SPELLS OR DIZZY SPELLS; (3) THAT I KNOW OF NO INJURIES TO ME OR MY CHILD (REN) THAT WOULD PREVENT PARTICIPATING IN THE PROGRAMS AT MAIN STREET GYM; AND (4) THAT MY CHILD (REN) AND/OR MYSELF ARE PHYSICAL FIT AND ABLE TO PARTICIAPET IN THE TRAINING AND BOXING PROGRAMS AT MAIN STREET GYM. MY CHILD (REN) AND/OR MYSELF WILL NOTIFY THE COACH, TRAINER, OR OTHER PERSONS IMMEDIATLEY SHOULD I OR MY CHILD (REN) SUFFER ANY OF THE ABOVE INJURIES OR ANY CONDITION THAT WOULD PREVENT MY CHILD (REN) OR MYSELF FROM PARTICIPATING IN THE TRAINING OR BOXING AT PROGAM THE GYM. I FRUTHER AGREE THAT IF I DO EXPERINCE ANY OF THE AFOREMENTION CONDITIONS OR INJURES, I WILL IMMEDAITLEY CEASE TRAINING, SPARRING, AND/OR COMPETING IN THE PROGRAM That I OR MY CHILD (REN) IS PARTICIATING IN AT THE MAIN STREET GYM. FEMALE BOXERS ONLY: I CERTIFY THAT I AM NOT PREGNANT, OR HAVE ANY OF THE FOLLOWING: PAINFUL PELVIC DISCOMPORT SUCH AS SYMPTOMTC ENDOMETRIOSIS, ABNORML VAGINAL BLEEDING, ABNORMAL BREAST MASSES, RCENT BREAST DYSFUNCITYON PREVIOUSLY NOT PRESENT OR SURGICAL BREAST IMPLANTS, AND HAVE READ SECTION 101.9(4) OF USA BOXING’S OFFICIAL RULES PERTAINING TO MY PRESENT PHYSICAL CONDITION, I FURTHER AGREE THAT I WILL IMMEDIATELY NOTIFY MY COACH, TRAINING, OR OTHER LOCAL BOXING OFFICEIALS IF ANY OF THE ABOVE DESCRIBED CONDITIONS SHOULD DEVELOP OR APPLY. MINOR’S MEDIA AND TRAVEL AUTHORIZATION: I HEREBY GIVE MY CHILD (REN) PERMISSION TO TRAVEL WITH THE MAIN STREET GYM BOXING TEAM TO BOXING EVENTS OR OTHER PROGRAMS RELATED TO MAIN STREET GYM ACTIVITES. I ALSO GIVE MY PERMISSION FOR MY CHILD’S PHOTO TO BE USED IN ANY PUBLICATION THAT IS RELATED TO THE PROGRAMS OF MAIN STREET GYM WHICH INCLUDES BUT NOT LIMITED TO THE MAIN STREET NEWSLETTER, BILLBOARDS, WEB SITE OR NEWS ARTICLES. RELEASE AND WAIVER IN CONSIDERATON OF MEMBERSHIP GRANTED TO ME OR MY CHILD (REN) BY MAIN STREET GYM, INC. TO PARTICIPATE IN ITS BOXING AND TRAINING PROGRAM, I THE UNDERSIGNED TAKE THE FOLLOWING ACTION FOR MYSELF, MY CHILD (ERN), MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS, SUCCESSORS AND ASSIGNS. I WAIVE, RELEASE AND DISCHARGER FROM ANY AND ALL CLAIMS OR LIABLITES FOR DEATH OR PERSONAL INJURY, OR DAMAGES OF ANY KIND, EXCEPT THAT WHICH IS THE RESULT OF GROSS NEGILGENCE AND/OR WANTON MISCONDUCT. THIS WAIVER AND RELEASE INCLUDES BUT IS NOT LIMITED TO THE FOLLOWING PERSONS OR ENITIES: EMPLOYEE’S OF MAIN STREET, ITS BOARD MEMBERS, COACHES, TRAINERS, SPONSORS, EVENT PHYSICIANS AND VOLUNTEERS. I AGREE NOT TO SUE ANY OF THE PERSONS OR ENTITIES MENTIONED ABOVE FOR ANY CLAIMS OR LIABILITIES THAT I HAVE WAIVED, RELEASED OR DISCHARGED HEREIN; AND I AGREE TO INDEMNIFY AND HOLD HARMLESS THE PERSONS OR ENTITIES MENTIONED ABOVE FROM ANY CLAIMS MADE OR LIABILITYS ASSESSED AGAINST THEM AS A RESULT OF MY ACTIONS.

This is the suggested equipment you will need:

  

  1.  Mouthpiece   Boiled and fitted, can be bought at Wal-Mart, Dicks, or Sears  
  2.  Hand wraps can be bought at Dick’s Sporting goods
  3. Bag Gloves, For hitting the heavy Bag and focus mitts, Can be bought at Dicks Sporting Goods or online at ringsideproducts.com. Do not get the kind that have laces or that have exposed fingers.
  4. A towel, you must bring a towel with you to every practice, you will understand the first time you need it and you will understand why I demand it if you do not have it.
  5. Water bottle. It does not have to be expensive but you must have a water bottle to refill, as we do not allow the use of cups and glasses in the gym.
  6. A jump rope that fits your height. 

 

After you are here for 1 month you will be required to purchase a 

competition Headgear. Please come see Coach Hal before buying. 

Males are required after 1 month to purchase a groin protector, again 

see Coach Hal before buying.  

 

Lastly, Make sure your name is on ALL your gear and do not leave any 

of it in the gym overnight unless it is in your locker.  The gym the locker 

rooms and the bathroom will be kept neat and picked up at all times.