Wilder Fight Night

First Name *

Last Name *

Date of Birth *

Gender *

Facebook Profile Link *

Instagram Profile Link *

Email *

Phone Number *

Height (in cm) *

Weight (in kg) *

Level of Boxing Experience (1-5)

Sports Clubs, Societies, Organisations Representation

Exec Roles

Year of Study (September 2024)

1st year 2nd year 3rd year 4th year 5th year Post Grad

Medical Concerns

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Offcial Sponsonrs