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Prénom *

Nom *

Gender *

Female

Date de naissance (AAAA *-MM-JJ)

/ /

Équipe - Le vôtre manque ? *

Province/State *

Country *

Number of Bouts **(0-10 bouts is Novice) 11+ bouts is Open Class *

2026 Registration Number

Coach Name *

I acknowledge and understand that I must have a valid medical, completed within the past 12 months, in order to participate in this tournament. I further agree to submit any updated medicals no later than June 15, 2026. *

Yes No

I understand that if I am a new member of Boxing Ontario and have been registered for less than 90 days (after March 21, 2026), I will not be eligible to participate in this tournament and will be removed. I also understand that if I am renewing my membership, I must be registered by May 25, 2026 *

Yes No

Please indicate/declare if you have prior combat sport experience (i.e, kickboxing, wrestling, muay thai, etc) This ensures fair & safe matchmaking for all participants *

Yes No

EMERGENCY CONTACT

Emergency Contact Name

Emergency Phone - Téléphone international

Relationship

Weight Class *Please scroll until you see available weight classes

Weight Class *Please scroll until you see available weight classes *

Catégorie *

J’ai lu et accepte les conditions *
CONSENT FOR USE OF PERSONAL INFORMATION, COMMERCIAL MESSAGES AND PHOTO RELEASE

J’ai lu et accepte les conditions *
CONCUSSION CODE OF CONDUCT

J’ai lu et accepte les conditions *
WAIVER OF LIABILITY FOR ALL CLAIMS AND RELEASE OF LIABILITY

J’ai lu et accepte les conditions *
ASSUMPTION OF RISK AGREEMENT

J’ai lu et accepte les conditions *
MEMBERSHIP WAIVER AND ACKNOWLEDGEMENT FORM-90 DAY POLICY

Signature numérique (doit correspondre exactement au « registrants name ») *

Athena's Reign Tournament

Places disponibles : 176

Veuillez corriger les erreurs suivantes :

EMERGENCY CONTACT

Weight Class *Please scroll until you see available weight classes