2017 Irish Third-level Boxing Championships
Email address
Entry Form
Boxer's Surname
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Boxer's First name
Your answer
Boxer's Student Registration Number
Your answer
Boxer's Date of Birth
Eligibility for entry: Born between 01 Jan 1977 - 15 Jan 2000
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Boxer's Contact Phone Number
Your answer
Boxer's Contact Email Address
Your answer
Boxer's Gender
Boxer's Third-level Institution
College, Institute of Technology or University attended by Boxer
Your answer
Award Level of Boxer's Course of Study (RoI)
Select appropriate Level. Only Boxers studying Level 6-10 course are eligible. Refer to http://www.nfq-qqi.com/index.html
Award Level of Boxer's Course of Study (NI)
Select appropriate Level. Only Boxers studying Level 3-8 course are eligible.
Third-level Institution's Sports Officer/Student Services Officer
Person whom will approve Boxer's championships registration
Your answer
Third-level Institution's Sports Officer/Student Services Officer Email Address
Third level contacts list here: https://www.studentsport.ie/?page_id=4736
Your answer
Boxer's Club
Boxing club which currently holds the membership of boxer. Club must be affiliated to the national governing body , IABA, for the current season. Enter Club Name & County
Your answer
Boxer's Club's Email Address
Your answer
Boxer's Club Coach(es)
Your answer
Boxer's Club Coach's Phone Number
Your answer
Date of First Registration to IABA
Must be completed by Novice Boxers. Date is recorded on Boxer's record book. Date will be checked at weigh-in. Must be accurate.
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Number of Bouts
Boxers with 35 or less bouts MUST enter exact amount of bouts. Boxers with more than 35 may give an approximate number.
Your answer
Number of Wins
Your answer
Other Fight Sport Experience
Boxers with experience in other combat sports must summarise the extent of this experience below
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Titles Won
Details of any Box Cup, Intervarsity, Provincial or National titles won by Boxer
Your answer
Email Address of College/University Boxing Team
Your answer
College/University Boxing Team Coach(es)
Your answer
College/University Boxing Team Coach's Phone Number
Your answer
Competition Category
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