Fill Your Details As Accurately As Possible

So We Can Match You Up!

Full Name

Email *

Phone *

Weight *

Age *

Gym or Coach’s Name

Fight Style

K1 (Kickboxing)

Muay Thai

Boxing

MMA-rules

Fight Experience

Years of Experience?

PLEASE COMPLETE FIGHTER'S MEDICAL SHEET

Has a doctor / medical professional ever diagnosed you with a heart condition and indicated you should restrict your physical activity? *

Yes

No

When you were not engaging in physical activity, have you experienced chest pain in the past month? *

Yes

No

Do you ever faint or get dizzy and lose your balance? *

Yes

No

Do you have high blood pressure or a heart condition in which a doctor / medical professional is currently prescribing a medication? *

Yes

No

When you perform physical activity, do you feel pain in your chest? *

Yes

No

Are you pregnant? *

Yes

No

Do you know of any other reason you should not exercise or increase your physical activity? *

Yes

No

Do you have insulin dependent diabetes? *

Yes

No

Emergency Contact Name *

Emergency Contact Number *

By providing my phone number, I agree to receive text messages from the business.

*

The Information provided is accurate and to the best of my knowledge

Phone : 020 3026 9602