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MMA FIGHT ACADEMY
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Fighter Registration
BASIC INFO
Weight Division
Choose an option
Speak English
*
Yes
No
Name
Nationality
Fight Name
Birthday
Select an Address
Email
Whatsapp
Phone
Date of Last Fight
Marital status
Do you have a passport?
*
Yes
No
Criminal convictions?
*
Yes
No
Result
Children
Do you have a drivers license?
*
Yes
No
Ever denied entry or visa to the US?
*
Yes
No
SOCIAL MEDIA
Facebook profile name
Twitter name
Instagram name
TikTok name
YouTube channel
MEDICAL
Did you ever have a brain scan?
*
Yes
No
Did you ever break your hand?
*
Yes
No
Did you ever get knocked out?
*
Yes
No
PRO FIGHT HISTORY
MMA fights
Boxing fights
Muay Thai fights
Kickboxing fights
Sherdog link
Tapology link
Other fights
AMATEUR FIGHT HISTORY
MMA fights
Boxing fights
Muay Thai fights
Kickboxing fights
Other fights
FIGHT BACKGROUND
Martial arts background
*
Jiu Jitsu
MMA
Boxing
Wrestling
Muay Thai
Kickboxing
Sambo
Karate
Taekwondo
Other
Club / Fight team
Head coach
Register
Thanks for registering to our event. See you there!
Fighter Registration
FIGHTER PROFILE / PROFIL PETARUNG
Weight DIvision / Divisi Kelas
Choose an option
Speak English / Berbicara bahasa Inggris
*
Yes
No
Full Name / Nama lengkap
Nationality / Kewarganegaraan
Fight Name / Nama panggung
Birthday / Tanggal lahir
Select an Address
Email
Whatsapp number / No. Whatsapp
Mobile number / Nomor telepon
Date of last fight / Tanggal bertarung terakhir
Marital Status / Status menikah
Passport
*
Yes
No
Criminal convictions / Catatan kriminal
*
Yes
No
Result / Hasil bertarung terakhir?
Children / Jumlah tanggungan anak
Driving License / Surat Izin Mengemudi
*
Yes
No
Ever denied entry or visa to the U.S / Apakah pernah ditolak ke US?
*
Yes
No
SOCIAL MEDIA
Facebook
Twitter
Instagram
TikTok
YouTube
MEDICAL / CATATAN KESEHATAN
Did you ever have brain scan? / Apakah anda pernah scan otak?
*
Yes
No
Did you ever break your hand? / Apakah anda pernah patah tangan?
*
Yes
No
Did you ever get knocked out? / Apakah anda pernah K.O?
*
Yes
No
PRO FIGHT HISTORY /
PENGALAMAN TARUNG PROFESIONAL
MMA fights/Pertarungan MMA
Boxing fights/Pertarungan Tinju
Muay Thai fights/Pertarungan Muay Thai
Kickboxing fights/Pertarungan Kickboxing
Sherdog link
Tapology link
Other fights/Pertarungan lainnya
AMATEUR FIGHT HISTORY/
PENGALAMAN TARUNG AMATIR
MMA fights/Pertarungan MMA
Boxing fights/Pertarungan Tinju
Muay Thai fights/Pertarungan Muay Thai
Kickboxing fights/Pertarungan Kickboxing
Other fights/Pertarungan lainnya
FIGHT BACKGROUND/
KEAHLIAN BELA DIRI
Martial arts background/Keahlian Martial Arts
*
Jiu Jitsu
MMA
Boxing/Tinju
Wrestling
Muay Thai
Kickboxing
Sambo
Karate
Taekwondo
Other/Lainnya
Club (Fight) team/Klub pertarungan
Head coach/Kepala pelatih
Daftar
Thanks for registering to our event. See you there!
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