First name
Last name
Parent/Guardians Name (if under 18)
Birthday
Month
Day
Year
Email
Phone
Emergency Contact Name
Emergency Contact Number
Which of the following do you have to show proof of low income?
Proof of Benefits
Council Tax Reduction
Free School Meals
Evidence of Hardship
Low Income Household
None of the Above
Evidence for low income:
Upload your file
Choose a file or drag and drop one here.
Upload File
Are you a Celtic Warriors Member right now?
Yes
No
Are you interested in Boxing or Kickboxing?
Boxing
Kickboxing
Have you trained in boxing/kickboxing before?
Yes
No
If yes where and how long?
What do you want to achieve through this programme?
Tick To Confirm
I can attend a mandatory assessment session.
I can attend at least 2 classes each week.
I understand this is not a discounted membership tier.
I confirm the information provided is true.
Any Injuries or medical conditions?
Submit
Talent Programme