Iron Will Fighting Fighting Champion

Fighter Registration Form

Please complete as much of the form below as possible when registrating to compete in MMA.

First Name:	Last Name:
Nickname:	Age:
Address:	Phone Number:
Address:	Alternative Phone Number: Email Address:
Weight Class:	Do you wish to compete as an amateur or professional? *Amateur Professional*
Height:	Pro MMA Record:
Amateur MMA Record:	Trainer Name:
School/Gym Name:	Fight Team you will not compete againist:
Walk Out Song:	States you hold licenses in:
Training History/Experience/Accomplishments:
MEDICAL TESTING
Date of Testing: / /
HIV Test	HEP B
Annual Physical	HEP C
For fighter's over the Age of 36. Please Complete the following:
/ / Date of CT Scan or Neuro Evaluation:
/ / Date of Dilated Eye Exam:

ONCE FIGHTER'S COMPLETE THIS REGISTRATION FORM, PLEASE SUBMIT HIGH
RESOLUTION PHOTO'S TO josh.breto@ironwillfighting.com