Application Form

Are you a Business Executive, Politician or a Celebrity? Join our Corporate Boxing Event!
This is your chance to champion mental health awareness and raise funds for a charity close to your heart.

Take on the challenge—showcase your strength and support for an important cause. Fill out the form below to make a difference with every punch!

Name

Gender

Age

Birthday

Mobile Number

Address

Company Name

Position

Height (Inches)

Weight (Kilograms)

Do you have any previous boxing experience?

Do you have any existing medical conditions?

Are you currently taking any medications?

Have you ever been diagnosed with heart problems?

Do you have a history of high blood pressure?

Have you experienced chest pain or discomfort during physical activity?

Are there any existing injuries that might affect your ability to participate in boxing?

How would you describe your current level of physical fitness? (1 is the lowest, 10 is the highest)

Are you currently engaging in regular exercise or physical activity?

Are you willing to undergo a medical examination before participating in the event?

Emergency Contact Name

Emergency Contact Relationship

Emergency Contact Number

Emergency Contact Email