Freedom Fighter Promotions Fighter Submission

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Use this form to submit your name for consideration for our next show. Please make sure to include your COACHES name, phone number, and email address. We will not speak to competitors directly. Submission of information does not guarantee a match up.

Email *

First Name *

Last Name *

Gender *

Male

Female

Date of Birth *

YYYY

I am a(n) *

Amateur

Professional

Select Your Height *

Select your Fight Weight *

Amateur Wins *

Amateur Losses *

Amateur Draws *

Professional Wins *

Professional Losses *

Professional Draws *

Have you ever competed in any combat sport other than Muay Thai or Kickboxing? *

Yes

If so, please list all other sports and record

Stance *

Southpaw (Left Handed)

Orthodox (Right Handed)

How long have you trained for? *

Less Than a Year

1-2 Years

2-3 Years

3-4 Years

4-5 Years

5+ years

Gym Name and City *

Coach's Name (First and Last Name) *

Coach's Phone Number (123) 456-7890 *

Coach's Email *

Which Event are you available for? (dates are subject to change) *

FFP12 - April 4th - Lumpinee Stadium- Bangkok, Thailand

FFP13 - May 27th - New York

FFP14 - July 8th - Hammond, IN

FFP15 - August 5th - New York

FFP16 - September 9th - New York

FFP17 - November 11th - New York

FFP18 - December 9th - Hammond, IN

Required

Instagram Handle *

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