Wilder Fight Night

Event Date: 05/12/2025

First Name *

Last Name *

Date of Birth *

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Height (in cm) *

Weight (in kg) *

Level of Boxing Experience (1-5)

University Attended *

Sports Clubs, Societies, Organisations Representation

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Year of Study (September 2024)

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

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Medical Concerns

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