2018 Revgear Tournament of Champions
PLEASE, ONLY SUBMIT THIS FORM ONCE!
If you have already submitted it once and need to make changes, please contact us. pam@tbasanctioning.org
USMF MEMBERSHIP REQUIRED TO COMPETE!
You may submit the registration form without your number however your registration will not be complete and posted to a bracket until you have submitted your USMF membership number to us.
Annual USMF Membership is $20/year. All proceeds are tax deductible and goes towards supporting Team USA at International Competitions. If you are not a member, please visit www.unitedstatesmuaythaifederation.org
Are you a USMF Member? *
USMF Membership Number: *
Your answer
First Name *
Your answer
Last Name *
Your answer
Sex *
Additional Names you have been known by:
Maiden Name, Birth Name, etc. If not applicable, put "N/A"
Your answer
Age *
Please list age as of October 20, 2018
Your answer
Height *
Please list your height as x' xx", i.e. 5' 6"
Your answer
Walking Weight *
We need your CURRENT walking weight, not fighting weight. This will help us if we need to adjust any brackets with single fighters after the closing date. Format is whole number. i.e. 250
Your answer
Birthdate *
MM
/
DD
/
YYYY
Email Address *
Please list the fighter's email address. Trainer's information will be entered in another area.
Your answer
Email Address: Confirm *
Please re-enter for confirmation
Your answer
SSN/SIN - last four digits *
This is to verify identity, if we would need to do so.
Your answer
T-Shirt Size *
Please double check your size
Country you reside in *
Mailing Address: Street *
Your answer
Mailing Address: City *
Your answer
Mailing Address: State/Province *
Your answer
Mailing Address: Postal Code *
Your answer
Your Phone #. Format: xxx-xxx-xxxx *
This is YOUR number (or parents if a minior), not trainers.
Your answer
Weight Brackets: Select ONE *
PLEASE READ BEFORE SELECTING YOUR WEIGHT BRACKET: PLEASE double check the weight you are registering for AND check your listing once its posted for accuracy! If it is incorrect, contact us immediately so we can get it fixed. If you have not double checked the online post and you registered for the incorrect bracket or need to be moved later due to not being able to make weight, you will have to pay a "Transfer fee" to have your registration updated. If you register in a 'full or closed' bracket, you will be placed in the next logical spot. This may be a higher weight bracket or a higher division. No Refunds. You may be able to transfer in later if there are enough drops (no guarantee). You will not be required to pay the transfer fee. "Overflows" will be moved back in according to their registration date. * We reserve the right to combine brackets or create 'catch weight' brackets when there are less than three fighters.
Required
Have you ever competed in Thailand? *
If you answered "yes" to the above question, please provide information. i.e. Date, Location, Promotion, Opponent, Outcome *
Your answer
Division: *
Class C is 0-5 fights. You will be using All strikes and kicks to body and head. ONLY elbows to the body. Class B is 6-15 fights. Class A is an Open division for ALL fighters with 15 or more fights. You may have "pro" experience. Class A and Class B divisions WILL be allowed to use elbows to the head w/ pads. ALL Fighters will compete with the TBA-SA Amateur rules and no one will receive a purse or any type of monetary compensation.
Required
Division: ALL Fighters complete this! *
Novice 0-5 Fights, Class B 6-15 Fights, Class A/Open 16 & above. If you have 'pro' experience, you MUST go into the Class A/Open division. NO purse or Monetary compensation will be awarded. Amateur rules. .
Required
TRAINER INFORMATION : *
We need your trainer information to confirm your fight record and to discuss transfers. If you have no training and/or do not train at an actual gym, you may not compete in this tournament.
Required
Training Facility *
Please list the name of WHERE you train.
Your answer
Head Trainer's First Name *
Your answer
Head Trainer's Last Name *
Your answer
Head Trainer's Email Address *
Please list the Head Trainer's email address.
Your answer
Additional Trainer's
If you have more than one trainer, please list the others here.
Your answer
Trainer/Gym's Street Address *
Your answer
Trainer/Gym's City *
Your answer
Trainer/Gym's State/Province *
Your answer
Trainer/Gym's Postal Code *
Your answer
Head Trainer's Contact Phone Number *
Please use the following format: xxx-xxx-xxxx
Your answer
Total amount of Training Time (all gyms/trainers) *
Past Gyms *
Please list all past gyms and/or trainers you have trained with and estimated time: (separate names with a comma)
Your answer
Past TBA-SA Experience *
Have you participated in a TBA-SA Tournament before? If yes, please list years.
Required
Fighter's Record: Please read before answering the following questions *
FULL DISCLOSURE! Copy and past this link into a new browser if you'd like a more detailed explanation of what we require is reported. http://www.tbasanctioning.org/REPORTEVERYTHING.htm Our research staff researches fighters. If we discover you have blatantly lied, you will be disqualified without a refund. Include ALL fight experience, this includes sanctioned, unsanctioned bouts, as well as smokers, demos, exhibitions, boxing, mma, any type of experience where there was a referee in the ring and spectators in the seats, regardless of where it is taking place - we need FULL DISCLOSURE. If you are unsure whether to count it, visit the website or contact us and we will advise what needs to be counted:
Required
Fighter's Record: Muay Thai, Kickboxing (all Rules), San Shou *
Please use the following format: Wins-Losses-Draws/Knock Outs, written as 0-0-0/0
Your answer
Fighter's Record: Smokers/Exhibitions/Demos/Etc. *
Please use the following format: Wins-Losses-Draws/Knock Outs, written as 0-0-0/0
Your answer
Fighter's Record: No Head Contact: YDL, PKB, or other similar rules style. *
Please use the following format: Wins-Losses-Draws/Knock Outs, written as 0-0-0/0
Your answer
Fighter's Record: Boxing *
Please use the following format: Wins-Losses-Draws/Knock Outs, written as 0-0-0/0
Your answer
Fighter's Record: MMA *
Please use the following format: Wins-Losses-Draws/Knock Outs, written as 0-0-0/0
Your answer
Fighter's Record: Pankration *
Please use the following format: Wins-Losses-Draws/Knock Outs, written as 0-0-0/0
Your answer
List number of bouts not reported above such as teammate exhibitions or smokers. If you have none, list 0. *
This is ONLY when you participated in an event against a teammate! ALL others need to be listed above.
Your answer
UPDATING YOUR RECORD: *
It is your responsibility to update us if you have any fights (including demos, exhibitions, etc) AFTER registering. Please send updated record via email. An email with just, "I fought and I won or lost" is not clear enough information. We need your current record after that win/loss, listed like this "W-L-D/KO" with the opponents name, and promotion date/location so the research staff does not get your bouts confused. The more information you can provide, the easier to make sure we have your record correct. It is very much appreciated! :) If you fail to notify us so you can stay in a division you are no longer able to be in after your additional fight(s), you will be disqualified.
Required
Optional Demograhics: Occupation
This section is optional, but if you could fill it out, we would greatly appreciate it! It helps us put together demographics of the participants which some of the sponsors ask for.
Your answer
Optional Demograhics: Hobbies
This section is optional, but if you could fill it out, we would greatly appreciate it! It helps us put together demographics of the participants which some of the sponsors ask for.
Your answer
Optional Demograhics: Residence
This section is optional, but if you could fill it out, we would greatly appreciate it! It helps us put together demographics of the participants which some of the sponsors ask for.
How'd you hear about us? *
We are always curious how new gyms, trainers and fighters hear about our tournament.
Required
READ AND CONFIRM: No Cash Refunds except for Military Deployment. We will issue a credit for following year if you have no opponent. *
Required
READ AND CONFIRM: Single Fighters & Match Ups for 2 man brackets *
Six weeks before tournament date, brackets with no fighters and only single fighters will be closed. A bracket MUST have at least two fighters registered in it to be held open. At this time, the TBA-SA staff will begin adjusting brackets with single fighters, if needed. Your trainer will be contacted to discuss possible changes to ensure you have at least one fight and everyone has sufficient time to make new weight. By completing this registration, the person submitting it agrees to the match ups completed by the TBA-SA staff where matching is needed. If you decide to not participate in the match made, the fighter will be dropped and will not receive a refund. If a fighter has absolutely no option, they will still receive their goody bag, weekend event pass, and a credit for the following year. No Awards will be awarded without competing in at least one fight.
Required
Has the fighter this registration is being submitted for ever been convicted of a felony? If yes, explain below. **Your answer will be kept confidential and by answering yes, it does not automatically prevent you from attending; each situation will be reviewed individually. A safe environment is our number one priority. *
If you answered 'yes' to the above question, please explain. If you prefer a phone call to discuss this, please list your phone number.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service