West Coast Wonder Women Registration
Full name *
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Fight Name (optional)
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Date of Birth *
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Email *
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Phone number *
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Full Address *
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Boxing Club *
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Coaches Name *
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Emergency Contact Name & Number *
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Open or Novice *
Weight (lbs) *
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Number of Bouts (Including smokers, exhibitions, other combat sports) *
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Amateur Boxing Record (W-L-D) *
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Number of years boxing experience *
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National or Provincial/State Ranking (if applicable)
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Southpaw or Orthodox *
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