Possum Town Throwdown Boxing Tournament Registration Form

Possum Town Throwdown

May 16, 2025

Boxing Tournament Registration Form

Participant's Information

Participant's Name

First NameLast Name

Are you over 18 ?

Participant's /Legal Guardian Name

First NameLast Name

Address

Street Address

Street Address Line 2

City

Postal / Zip Code

Cell Phone

Area CodePhone Number

E-mail

Boxing skill level

	1	2	3	4	5

1 is Begginer, 5 is Advanced

Emergency Contact Information

Emergency Contact's Name

First NameLast Name

Relationship

Phone Number

Area CodePhone Number

Do you have health insurance ?

Important Notes · Dress appropriately. You MUST have groin protection and a mouth piece to compete. You MUST bring your own hand wraps, if you so choose to use them. No food or drink in the dressing rooms ( only water ). The event organizers ensure the talents of all participants by categorizing each fighter in proper weight class to balance the competetion.

Does you have any allergies, breathing conditions , or medical conditions that would limit high level activtiy?

Please describe

Permission For Emergency Treatment In the event of illness or accident, I give my permission for emergency treatment by qualified medical personnel. I give consent for the facility to secure any and all necessary emergency medical care.

Release of Liability Although the safety of all sport activities is the primary concern, indoor sport activities at the Columbus Fairgrounds may cause injuries and/or death. I expressly assume the risk of injury, death, and/or illness arising from any cause, and agree to waive the right to pursue any claim against the Columbus Fairgrounds and the persons in charge.

I have read and agree to the above conditions

Confirmation E-mail

Signature

After completing this form, please click Submit Form. You will receive a confirmation email. If you do not receive the email within 24 hours, please check your spam; otherwise, please contact at www.cpacpromotions@gmail.com