Fighter Application
Please note rules have changed for kickboxing in 2020. See link below.
1. Fill out the application. You do not need to write this down. You will get a copy of this form and instructions in your email when you are done.
2. IMPORTANT: Message the USKA Fight Sports page by clicking here m.me/UskaFightsports and let us know you filled out the application. Send a photo to the page for your fight poster, guard up facing front. Also send a picture of drivers license. IF you are under 18 send a picture of birth certificate.
3. If your blood work and physical are not up to date, schedule them ASAP once you are confirmed to have a fight. Here is the commission link if you do not know what you need to proceed. (Amateurs do not need a separate eye exam unless instructed by commission). ALL PAPERWORK AND MEDICALS ARE DUE 10 DAYS BEFORE THE FIGHT AT THE LATEST.
https://www.dos.pa.gov/OtherServices/State%20Athletics/LicensingRequirementsForms/Pages/default.aspx#.VBMIyfldUQ0
4. REMEMBER: Always EMAIL ST-SAC@pa.gov information to the commission as soon as it is available, wait 24 hours then you must FOLLOW UP WITH A PHONE CALL 1-717-787-5720 to the commission to confirm.
5. Here is a helpful link to schedule your blood work. Just click the link and search the word fighter http://www.anrdoezrs.net/click-8954175-13132201 Please make sure your physical is done on a PA Athletic Commission Form.
6. Rules: https://docs.google.com/document/d/1zxVI--n15XLGqf3Js1Otm0ya7mIZza6HKPC1rUWo5ws/edit?usp=sharing
7. Bloodwork and paperwork help https://youtu.be/YveEjduaSnA



Sign in to Google to save your progress. Learn more
Email *
Name as it appears on drivers license *
Lowest Fight Weight (Ammy Weigh ins 4pm Day of Event) Please choose the weight that is closest but not below your lowest fight weight. *
Highest Fight Weight (Ammy Weigh ins 4pm Day of Event) Please choose the weight that is closest but not above your highest fight weight. *
Current Weight *
Record-boxing-mma-kickboxing/Thai Please list all *
Stance- Right or left handed *
Height *
Gym *
Birth date *
MM
/
DD
/
YYYY
Sex *
Style(s) you will fight? Check all that apply. *
Required
Are you applying to fight as a pro or amateur *
Required
Amount of tickets needed *
Fighter Phone *
Trainer Name *
Trainer Phone *
Trainer Email *
Would your prefer we contact fighter or trainer? *
Home Street Address *
Home City and State and Zip Code *
Do you have any smokers record? *
Result of Last Fight?
Date of Last Fight?
Total time training *
Is your blood work up to date with the PA Athletic Commission? *
If you have a fight license what is you ID Number?
Is your License up to date with the PA Athletic Commission? *
Are you currently serving any suspension by PA or any other state? *
If you have a profile on mixedmartialarts.com please cut and paste the link here.
What date(s) do you want to fight? If you are trying to register for the WAKO Nationals Tournament you must do it at www.wakousa.org *
Required
Why should we choose you for this fight card?
What size ring do you wear? (It's an award question)
Do you have a fight planned between now and the date you are applying for? If yes give details. *
How many times do you want to fight in the next 12 months?
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy