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Email
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Your email
Legal name (First name and surname)
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Your answer
Preferred name (only if different to legal name)
Your answer
Date of Birth
*
MM
/
DD
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YYYY
Gender
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Female
Male
Mobile number
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Your answer
Suburb
*
Your answer
Which Gym?
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Unsure, please help me select a gym
Balmain Boxing Club
Battaglia Boxing - Freshwater
BBMA - Redfern
BBP Gym - Botany
BoXerIQ - Redfern
Box Fuller - Balgowlah
Boxing 2166 - Cabramatta
Boxing Works - Kings Cross
BT's Boxing Club - Carringbah
BX1 - Neutral Bay
Carioti MMA - Hornsby
Cortex MMA - Alexandria
Doyle Boxing Club - Sylvania
Fight Gym Brookvale
Focus Boxing Club - Lakemba
Get Fit Boxing - Crows Nest
Glovebox - Warriewood
Jabout - Penrith
Joe's Boxing Club - Five Dock
Legends Kensingtion
Moala Boxing Academy
NBRHD Boxing - Manly
No Quarter - Alexandria, moving to Marrickville late August
Northend BC - Penrith
North Shore Boxing Club - North Sydney
PCYC Eastern Suburbs - Daceyville
PCYC Woolloomooloo
Ringcraft - Blacktown
Shadow Fitness Club - Smeaton Grange
Standup Boxing - Castle Hill
Stronger Boxing - Rhodes
Team L.A.U Boxing - Homebush
Team Vickers
The Boxing Gym - Brookvale
Urban Boxing - Seven Hills
Viking Athletics - Cromer
Virgin Active/Jabs Fitness - various locations
Wyllie Martial Arts - Willoughby
Other:
Are you currently at a member at this gym?
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Yes
No
Other:
Current weight (kg)
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Your answer
Estimated final weight (kg)
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Your answer
Height (cm)
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Your answer
Stance
*
Orthodox (right handed)
Southpaw (left handed)
Prior combat experience?
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Yes
No
If yes, please list disciplines and record
Your answer
Emergency Contact (name - relationship - mobile number)
*
Your answer
I commit to sell a minimum of 1 Table of 10 or 25 General Admission tickets to the fight night, 3 weeks prior. I understand that should I fail to do this I will be charged for 25 General Admission tickets
*
YES - this is a condition of entry
NO
I commit to be at training at least 4 times per week unless otherwise agreed with my coach
*
YES - this is a condition of entry
NO
Any additional info you'd like to share
Your answer
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