揝HOWDOWN Inside the Ropes Singapore?/strong>

September 2009

Event participation form

Boxer's Name
First Name	Last Name
Gender Male Female	Age
Email Please enter a valid email id. You will receive a confirmation email via this email address upon successful registration
Contact No
Place of Birth Please enter your birth country and city
Company
Designation
Weight(KG)	Height (CMs)
How long have you been a resident of Singapore? (months)
Fitness ( 1 to 5 ) Level (1) Very Unfit (5) Super Fit *
Combat Experience (if any)
Preference - Kick-boxing or Boxing?
Medical History
Are you taking medication?
Details of the person to contact in case of emergency
First Name	Last Name
Contact No	Relationship
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