Fighter Information

First name

Last name

Phone

Birthday

Month

Day

Year

Height - feet

Height - inches

Reach (inches)

T-Shirt Size

Short size

Preferred nickname (ring announcements)

Phonetic pronunciation of your name (ring announcements)

Weight class

Fight style

Kickboxing

MMA

Muay Thai

Gym affiliation

Trainer/Coach

Corner man

Trainer/Coach phone

Trainer/Coach email

Current wins

Current losses

Current ties

Walk out song

Please, upload an image of yourself

Disclaimer:

I am requesting to participate in a Boxing, Kickboxing, or MMA event sponsored by AGOGE Fight League, If I am under the age of 18, my parent(s) understand and agree to assume liability on my behalf, I agree to receive email and/ mobile updates/social media notifications from AGOGE Fight League and affiliates, I acknowledge that my information and image is being collected and agree to its usage for promotional purposes by AGOGE Fight League and its affiliates, I acknowledge that AGOGE Fight League events are family-friendly and will ensure any requested music is free from explicit language.

I hereby agree that I have read and understand the above disclaimer.

I hereby agree that I have read the Waiver found here - Fighter Forms.

I certify that all information provided above is true and correct to the best of my knowledge, and I understand that providing false or misleading information may result in denial of services or other appropriate action.

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