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AMMASA
UWC Fight Night

AMMASA

Fighter Registration Form

Amateur MMA, Striking MMA, Pankration, Ju-Jitsu

K1 Kickboxing

Aus GAMMA World Trial Selections

UWC Fight Night 14/9/2024

Birthday:
Event Entry:
MMA (single fight)
MMA (4 man tournament title fights)
Pankration (under amateur mma rules selections)
MMA (GAMMA 2024 Worlds Trials)
Striking MMA
K1 Kickboxing
Combat Ju-Jitsu (under amateur mma rules)
Weight Category:
Under 55kg
55 to 60kg
60 to 65kg
65 to 70kg
70 to 75kg
75 to 80kg
80 to 85kg
85 to 90kg
90 to 95kg
95 to 100kg
100kg and Over
Are You Combat Sports Registered:
Fight Stance Photo

Declaration:

I’ hereby the applicant AGREE and release AMMASA, UWC, PGMA, Sportz Australia WAKO Aus Board of directors Officials and any Individual, Organization connected in any way with the Event / Tournament and any injuries which could be sustained by participation in such. I 'fully understand that if any medical treatment is given to me will be of first aid type only unless attended too by a medical practitioner. Am in good health, and having trained for this type of contact competition sport with obvious risks. I voluntarily accept this risk of injury and I shall not hold anyone liable for any injury or damage to me or my property either during or after the competition and hold no one liable for any injury or damage I might suffer from being on or leaving the premises where competition / tournament is being held. I also agree for anything of me including been filmed or photographed to be used for promotional purposes by the above mentioned organizations.

Date:
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