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Nebraska Athletic Commission Pre-book Physical Examination Form o Professional Boxing Mixed Martial Arts OFFICIAL WEIGHT: TO BE COMPLETED BY CONTESTANT Legal Name: Age: Date of Birth: Social Security
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How to fill out pre-bout physical form

How to fill out a pre-bout physical form:
01
Obtain the form: The first step in filling out a pre-bout physical form is to obtain the form itself. These forms are typically provided by the event organizer or your coach. You may need to request it in advance or it may be given to you on the day of the event.
02
Read the instructions: Before starting to fill out the form, carefully read through the instructions. The instructions will provide guidance on what information needs to be included, any specific formatting requirements, and any additional documents or signatures that may be required.
03
Personal details: Begin by filling out the personal details section of the form. This typically includes your name, date of birth, address, contact information, and any relevant identification numbers such as your athlete number or social security number.
04
Medical history: The next section of the form will usually ask for your medical history. This may include questions about past injuries, surgeries, illnesses, or any ongoing medical conditions. Be honest and provide as much detail as possible, as this information is crucial for ensuring your safety during the bout.
05
Medications and allergies: If you are currently taking any medications or have any known allergies, this information will usually be requested in a separate section. Be sure to include the names of the medications, the dosage, and any relevant details about your allergies or reactions.
06
Emergency contacts: It is important to provide the contact information for at least one emergency contact person. This could be a family member, friend, or coach who can be reached in case of an emergency during the bout. Include their name, relationship to you, telephone number, and any additional contact details.
07
Medical consent and waivers: Depending on the event and organization, you may be required to sign a medical consent form or waivers. These forms generally state that you understand the risks associated with participating in the bout and give authorization for any necessary medical treatment in case of injury.
08
Coach or physician signatures: In some cases, the pre-bout physical form may require the signature of your coach or a physician. Ensure that all necessary signatures are obtained before submitting the form.
Who needs a pre-bout physical form:
01
Amateur boxers: Amateur boxers, who participate in regulated boxing events, are usually required to complete a pre-bout physical form. This is done as a safety precaution to ensure that the boxer is physically fit to participate and does not have any underlying health conditions that could pose a risk.
02
Professional boxers: Professional boxers, who compete at a higher level with stricter regulations, are also typically required to fill out a pre-bout physical form. This is done to ensure that they are in optimal condition and to minimize the risk of injury during matches.
03
Event organizers: Event organizers require participants to fill out pre-bout physical forms to ensure the overall safety of the event. These forms help organizers assess the health and fitness of the participants, and take any necessary precautions to avoid potential issues during the bouts.
In conclusion, filling out a pre-bout physical form involves obtaining the form, carefully reading the instructions, providing personal details, disclosing any relevant medical history, listing medications and allergies, providing emergency contact information, signing consent forms or waivers, and obtaining any required signatures. Amateur and professional boxers, as well as event organizers, typically require these forms to ensure the safety of participants and the smooth running of the event.
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