2024 Victory Gala Fighter Application Form

1
Name
First Name
Last Name
2
Contact Information* This field is required.
First Name
Last Name
Email
Phone number
Address, City, Province, Postal Code
3
Your Details* This field is required.
Age on June 1st, 2024
Gender
Current Weight in lbs
Height
Job Title
Company
4
Experience* This field is required.Your fighting experience and training level. Please include dates and details of past fights if applicable.
Please Select
Please Select
Yes
No
Do you have any boxing experience?
If yes, please provide brief overview.
Are you currently training at a gym? If so, where, and who is your coach?
Please Select
Please Select
Yes - In great shape, exercise almost every day
Yes - Recently started exercising, getting in shape
No - Haven't worked out consistently in a while
No - Have never worked out outside/in a gym
Are you currently exercising?
What is your fight stance? (Orthodox or Southpaw)
Please highlight any health conditions of concern (ie heart condition, high blood pressure, prior injuries, etc)
5
How do you intend to raise the required $10,000 fundraising minimum?* This field is required.e.g. my uncle is a billionaire; my company will sponsor me, etc.
Huge
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Small
Ok
Ok
6
Do you acknowledge that if/when you sign the fighter agreement, you will be personally responsible for the balance of the $10,000 minimum fundraising commitment, regardless of whether or not you are successful in participating on fight night?* This field is required.This includes dropping out for any reason, voluntary or not.
YESNO
7
Will you be able to sell a table (valued at $10,000) over and above your fundraising minimum?* This field is required.For clarity, this is would be over and above your personal fundraising goal of $10,000. Collectively, this would be $20,000.
YESNO
8
Why do you want to fight at the Victory Gala 2024?* This field is required.
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Ok
Ok
9
How did you find out about the Victory Gala?* This field is required.(Were you referred by a previous fighter? If so, who?
Huge
Large
Normal
Small
Ok
Ok
Should be Empty: