Northolt Patrick Wilson Sob
Lord Halsbury Memorial Playing Fields, Priors Farm Lane, Northolt, Middlesex UB5 5FE

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Boxer Details

Previous Boxing Experience

MEDICAL HISTORY

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DECLARATION

Please could you contact me with further information about joining the Northolt Patrick Wilson Sob boxing club. I have read the above questions and answered all to the best of my knowledge & belief. I understand that completion of this form is a simple request for further details about classes etc., and the content within does not form part of any application for membership that I may be asked to complete.