EmailMeForm
Fighter Idol and LionKiller Registration Form
Fighter Full Name
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First Last
Nickname
Phone
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Age
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Date of Birth
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MM
/
DD
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YYYY
Email
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Sex
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Male
Female
Fight Status
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Amateur MMA
Professional MMA
Amateur Jiu Jitsu
Professional Jiu Jitsu
Preferred Fight Weight
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This is the weight you will be for the weigh in.
Record as an Amateur MMA
Win - Loss - Draw
Record as a Professional MMA
Win - Loss -Draw
Record as a Amateur Jiu Jitsu
Win - Loss -Draw
Record as a Professional Jiu Jitsu
Win - Loss -Draw
Team or Affiliation
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Address
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Street Address
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Competition Preference in Jiu Jitsu
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BJJ
Gi
No Gi
Submission Only
If possible I would like to represent the following city:
(All teams fight to change the lives of children and adults with cancer.)
In addition teams also support and assist other specific charities.
(Funds raised will be directed to that organization.)
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Alabama Slam--------------------(Wounded Warrior Project)
Atlanta Avalanche----------------(St.Judes Childrens Hospital)
Boston Bounty Hunters----------(A21 AgainstSex Trafficking)
Calgary Chaos--------------------(American Cancer Society)
Chicago Hitmen------------------(Chicago Coalition For The Homeless)
Dallas Destroyers----------------(F.A.C.A.) Fighters Against Chid Abuse
Denver Demolition---------------(Voice Of The Martyrs)
Hawaiian Kings-------------------(Samaritans Purse)
Houston Havoc-------------------(Make A Wish Foundation)
Kansas City Outlaws-------------(Cure Alzeimers Fund)
Las Vegas Regulators------------(American Red Cross)
Los Angeles Lightning------------(National Pediatric Cancer Foundation)
Miami Crush----------------------(Parkinsons Disease) Michael J. Fox Foundation
Milwaukee Militia-----------------(Meals On Wheels)
New York Knockouts-------------(Doctors Without Borders)
Philadelphia Warriors------------(National Breast Cancer Foundation)
Phoenix Finishers----------------(Big Brothers And Big Sisters Of America)
San Diego Spartans-------------(Habitat For Humanity)
ST. Louis Hitsquad--------------(Homes For Our Troops)
Toronto Terminators------------(Pancreatic Cancer Action Network)
Facebook Account
*
Twitter Account
Instagram Account
You Tube
If you have any Youtube footage of you in action, please enter link here.
Website
Fight Pictures
*
What or who are you Fighting for?
Fighter Idol let's you Fight for someone else!
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Notes or Additional Info
Consent for use of my name, photo and likeness in promotion of Fighter Idol and LionKiller events.
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I agree
If chosen, I would like to fight for the following non-profit charity organization:
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