UCS Muay Thai Fight Night III

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Are you ready to step into the ring and showcase your skills? Universal Combat Sports Presents Muay Thai Fight Night 3! Complete the fighter registration form below to secure your spot in this exhilarating event! Whether you're a seasoned fighter or a rising star, this is your chance to shine in front of a passionate crowd and make your mark in the world of Muay Thai.

Date: Saturday July 20th, 2024
Location: Downtown Bellevue Park

10201 NE 4th St
Bellevue, WA 98004

Fighter Declaration: Confirm that all information provided is accurate and agree to the terms and conditions of participation in UCS Muay Thai Fight Night 3.

Submit: Once you've completed the form, click "Submit" to officially register for the event and take your first step toward glory in the ring!

Full Name *

Date of Birth *

YYYY

Gender *

Male

Female

Other

Address

City *

State/Province *

Zip/Postal Code *

Country *

Email Address *

Phone Number *

Emergency Contact Name *

Emergency Contact Phone Number *

Weight Class (Please select one) *

Kids (ages 6 - 11)

Flyweight (up to 115 lbs)

Bantamweight (up to 125 lbs)

Featherweight (up to 135 lbs)

Lightweight (up to 145 lbs)

Welterweight (up to 155 lbs)

Super Welterweight (up to 165)

Middleweight (up to 175)

Light Heavyweight (up to 185 lbs)

Cruiserweight (up to 205 lbs)

Heavyweight (over 205 lbs)

Fight Record (if applicable)

Gym/Dojo Affiliation *

Trainer/Coach Name *

Trainer/Coach Contact Email *

Years of Experience *

Accommodation Required *

Yes

If Yes, please specify

Do you have any pre-existing medical conditions we should be aware of?
*

Yes

Are you currently taking any medications? *

Yes

If Yes, please specify

Do you have any allergies? *

Do you have Medical Insurance? *

Yes

Fighter Declaration

By submitting this form, I certify that all the information provided is accurate to the best of my knowledge. I understand that participation in the Muay Thai Boxing Event is at my own risk, and I hereby release Universal Combat Sports and its affiliates from any liability for injury or loss incurred during the event.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Niina Fujioka.

Does this form look suspicious? Report

Forms