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Muay Thai Application Form

Your information will be kept strictly confidential and will never be shared with third parties. If you are registering more than one child, please complete a separate form for each child.

Taught by Coach Athena, an England Boxing Coach with over 10 years of training in Boxing and Muay Thai, a Level 3 Qualified Personal Trainer, former amateur boxer and over 6 years of competitive experience across both disciplines.


Muay Thai sessions take place in an Islamic environment designed exclusively for girls, providing a comfortable, hijab-friendly space where students can train with confidence, ease and modesty.


The sessions focuses on developing confidence in handling challenging situations, introducing striking, movement and defensive techniques to build practical self-defence skills.

Session Details: Mondays | 10:30am – 11:30pm | Tower Hamlets | 1hr | £10 per session (Block Booking)

Are You Currently Homeschooling Your Daughter? [This Programme is Exclusively Tailored for Homeschoolers]

Are You Currently Homeschooling Your Daughter? [This Programme is Exclusively Tailored for Homeschoolers]
A
B

Participant Details

Child's Name

Date of Birth

Current Age

Current Age
A
B
C
D
E
F

Child's Ethnic Background (e.g. Bangladeshi, Moroccan)

Parent/Guardian Details

Parent/Guardian Name

Mobile Number (for contact purposes only)

Primary Email Address

Current Address

Medical Information

Does Your Daughter Have Any Medical, Special Needs Or Health Conditions?

Does Your Daughter Have Any Medical, Special Needs Or Health Conditions?
A
B

If yes, please specify:

Consent

- I give permission for my child to participate in the Muay Thai sessions.
- I understand that my child will be taking part in physical activities & accept the risks involved, knowing that coaches will take every care to ensure their safety.
- I give consent for the coaches or staff to administer basic first aid if required.
- I agree to adhere to the programme rules and follow the instructions provided by the coaches.

Signature of Parent/Guardian:

Signature

Date

How Did You Hear About Us?

How Did You Hear About Us?

By Submitting This Form, You Consent To Us Contacting You Regarding The Muay Thai Sessions. Presented by Peak Performance - A Programme of Suhba Club