The contestant is therefore *FIT/UNFIT to compete in professional contests. CONFIRMATION OF IDENTITY I sighted a driver's licence or [insert as photographic proof other] of identity of [insert whose blood name of the professional contestant] test results I have reviewed. Medical Practitioner: Medical Practitioner's Signature: Qualification: Address: Telephone: Date: CONSENT FOR RELEASE OF BLOOD TEST RESULTS I, [insert of [address] name of professional contestant] authorise the release of the results of the required test to the PROFESSIONAL BOXING AND COMBAT SPORTS BOARD and its officers, for the purposes of protecting my health and safety and that of other participants. Signature of Person Examined: Date: *Cross out whichever is inapplicable. Regulation 15(2) 8 Professional Boxing and Combat Sports Act 1985
The contestant is therefore *FIT/UNFIT to compete in professional contests. CONFIRMATION OF IDENTITY I sighted a driver's licence or [insert other] as photographic proof of identity of [insert name of the professional contestant] whose blood test results I have reviewed. Medical Practitioner: Medical Practitioner's Signature: Qualification: Address: Telephone: Date: CONSENT FOR RELEASE OF BLOOD TEST RESULTS I, [insert name of professional contestant] of [address] authorise the release of the results of the required test to the PROFESSIONAL BOXING AND COMBAT SPORTS BOARD and its officers, for the purposes of protecting my health and safety and that of other participants. Signature of Person Examined: Date: *Cross out whichever is inapplicable. Regulation 15(2) 8 Professional Boxing and Combat Sports Act 1985
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