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Next Rung Public Safety Mental Health

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Battle for Mental Health
Boxer Registration

Name*

Agency*

Email*

Phone*

Age*

Height*

Weight*

Handed*

Right

Left

Shirt Size*

Small

Medium

Large

X-Large

2X-Large

3X-Large

4X-Large

Experience Level

List all fight experience. Failure to disclose all fight experiences may disqualify you from the Battle for Mental Health.

Boxing Record (W-L)*

Martial Arts (Belt)*

Training

Training Time (Years, Months, Dys)*

Coach Name*

Coach Phone Number*

Other

Entrance Song (Clean version please)*

Short Bio for Commentators*

Upload High-Res Headhsot*

We Need Your Support Today!

Next Rung

Email: info@nextrung.org

Phone: 678.783.3686

Registered Charity: 82-3124559

Address: PO Box 1240, Madison, GA 30650

Next Rung Ribbon

We are so grateful for businesses who continue to partner with us! Without donations like these, we couldn’t continue to provide help to our brothers and sisters, and fellow first responders. We are grateful for the family that we have built along the way. If you’d like to partner with us through a fundraising event, we are all ears!

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