2023 Nationals Prep

$50 - $75

March 18th || 9am-12pm & 1pm-4pm

123 W Main st., Collinsville, Illinois 62234

Members $50 || Non-Members $75

SKU NPS23 Category Training Tags current, national prep

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Please fill out all of the information on this form to register and pay for your entry.

Name*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

RSportz USA Kickboxing Membership?*

Yes

Member Number*

Date of Birth*

Gender*

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Female

Weight*

Where Do You Train?*

Trainer's Name

Total Fight Record*

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