Victory Gala 2024 Fighter Application

1
Contact Information* This field is required.
First Name
Last Name
Email
Phone Number
Address, City, Province, Postal Code
2
Your Details* This field is required.
Age on June 1st, 2023
Gender
Fight Stance (Orthodox or Southpaw)
Current Weight in lbs
Height
Job title
Company
3
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 an overview of your experience.
Are you currently training at a gym? If so, where, and who is your coach?
Please Select
Please Select
Yes - Almost everyday
Yes - A few times a week
No
Are you currently exercising?
Please highlight any current health conditions that may be of concern (ie heart condition, diabetes, prior injuries, etc)
4
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.
5
Will you be able to sell a table (valued at $10,000) over and above your fundraising minimum?* This field is required.Tables seat 10 guests and cover the cost of dinner and open bar
YESNO
6
We want to take this time to emphasize the importance of your commitment to the fundraising minimum of $10,000. The Pinball Clemons Foundation relies on the amount you commit to run mentorship, education, and youth development initiatives throughout the year. These initiatives are the entire reason our event is held. It is your responsibility to reach your fundraising minimum of $10,000 by fight night. ***IMPORTANT: Should you not reach your goal through peer-to-peer fundraising (or other means), you will agree, upon signing on as a fighter, that you will personally be responsible for the balance. For clarity, any ticket and table sales are separate from your $10,000 fundraising minimum.**** This field is required. This includes dropping out for any reason (voluntary or not)
YESNO
7
Why do you want to fight at the Victory Gala 2024?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
8
How did you find out about the Victory Gala?(Were you referred by a previous fighter? If so, who?
9
A minimum of 6 months training is required to ensure the best possible experience. Are you able to commit to starting training no later than December 1, 2023?
Should be Empty: