BOXER APPLICATION FORM PERSONAL INFORMATIONFull NameAgeWeight (kg)Height (cm)Mobile NumberEmailPostal AddressHow did you hear about PCR?FITNESSOn a scale of 1-10, how fit would you describe yourself?12345678910EXPERIENCEDo you have any previous boxing experience including fitness boxing? If yes, please specify.YesNoSpecify ExperienceWhat do you want to gain from this experience?MEDICAL HISTORYAre you currently taking any medication? If yes, please specifyYesNoSpecifyDo you have a heart condition?YesNoAre you prone to fainting?YesNoDo you have high blood pressure?YesNoDo you have low blood pressure?YesNoDo you have any other underlying medical or physical injuries? If yes, please specify:YesNoSpecifyEMERGENCY CONTACTEmergency Contact NameEmergency Contact RelationshipEmergency Contact Phone
