Gym Registration

Gym Registration Form

Ghana Boxing Authority – Gym Registration

A. Gym Information

Gym Name*

Year Established*

Registration Number*

Location / Address*

Digital Address*

Region*

Contact Number*

Email Address*

Website (if any)

Name of Owner / Director*

Nationality*

Ghana Card / Passport No.*

B. Gym Administration

Head Coach Name*

Assistant Coach Name*

Number of Coaches*

Manager Name*

License Number*

Expiry Date*

Total Number of Boxers*

Membership Status*

C. Boxers Registered Under Gym

List up to 5 boxers and their records (attach additional sheet if necessary)

Boxer Name

Weight Division

Record (W-L-D)

D. Identification & Documents

Gym Registration Certificate*

Business Registration Document*

Owner’s ID (Ghana Card / Passport)*

Photos of Gym Premises*

Proof of Address*

E. Facility Details

Number of Rings*

Number of Training Bags*

Number of Lockers*

First Aid / Medical Equipment Available*

Changing Rooms (Yes/No)*

Restrooms (Yes/No)*

Affiliated Medical Officer Name*

Contact*

G. Declaration

We hereby declare that the information provided above is true and accurate to the best of our knowledge.

Gym Representative’s Name*

Signature (Upload or Type)*

Date*

Thank you!

Your Gym Registration has been submitted and is pending approval by the Ghana Boxing Authority.

A confirmation will be sent to your provided contact details. A PDF copy of your submission will download automatically.

Gym Registration

Gym Registration Form

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