The personal and personal health information being collected on this form is for the purpose of determining your suitability to obtain a boxing licence.
Before a licence is issued a complete physical examination is required. In addition, a pre-fight and post-fight medical examination is required, with the
physician providing a report on you directly to the Commission.
If you have any question regarding the collection of the information on this form or other information requested by the Commission please contact
Manitoba Combative Sports Commission at (204) 945-1788. You are also entitled to ask the physician conducting any exam the purpose and
significance of any personal health information being collected about which you have any questions.
If you have any issues with the submission form, you can also download a copy.
(Right click or option-click the link and choose “Save As…” to download this file.)