IKF
Fighters
LICENSE - REGISTRATION FORM


To Register Print out This form & MAIL to the IKF With Your Fee of *$25.00 - $30.00 If Paying by Visa/MC. CREDIT CARDS Will Be Charged Thru Our IKF Graphics Department and Say FOSTER GRAPHICS on your statement. FAX: (916) 663-4510.Registration Forms WITHOUT FEES will be Disposed of.
Add $10 Per Additional Rule Style Listing.

IKF STAFF USE ONLY

  • SENT: ___/___/___
  • REC: ___/___/___
  • PAID: $______
  • PHOTO: _______

PLEASE PRINT NEATLY
If we cannot read your printing, the WRONG information will be listed about you.
This means no promoters will be able to contact you for fights.

  1. Full Name:___________________________________________________________
  2. Fight Weight in Pounds: ________ Lbs. - Height in Feet & Inches:____'____"
  3. Current Age: ______ & Birthday (month, day & year): _____/_____/_____
  4. P.O. Box Or Physical Street Number:_________________________________________
  5. City: _______________________ State: _____________ Zip Code: __________________
  6. Country:________________________________
  7. Trainers Name: (List SELF if you train yourself)_________________________________
  8. Contact Phone Number to be listed in Rankings: _______________________
  9. e-Mail (If One):________________@_________________
  10. FIGHT RECORD - IF NO FIGHTS PLEASE WRITE -0- IN ALL BLANKS
    • AMATEUR Fight record with KOs - IF ANY -
      • Kickboxing: ____Wins ____Loses ____Draws
      • MMA: ____Wins ____Loses ____Draws
      • Boxing: ____Wins ____Loses ____Draws
    • PROFESSIONAL Fight record If a PRO
      • Kickboxing: ____Wins ____Loses ____Draws
      • MMA: ____Wins ____Loses ____Draws
      • Boxing: ____Wins ____Loses ____Draws
  11. RULE DIVISION: The $25 covers your listing in "1" Rule Division. Please Add an additional $10 Per Additional Listing past 1 if you want to be in more than 1 ranking division. PLEASE "CHECK" the Appropriate Rule Style(s) you wish to be ranked in:
    ___
    Full Contact Rules - ___ International Rules- ___ Muay Thai Rules - ___ San Shou Rules
  12. I certify the above Is true and I confirm so by my signature here:________________________, Date: ___/___/___

Please send all required information and fees to: IKF Attn: RANKINGS DEPARTMENT
P.O. Box 1205, 9385 Old State Hwy, Newcastle, CA, 95658, USA - (916) 663-2467 - FAX: (916) 663-4510

Registration Forms WITHOUT FEES will be Disposed of.

IF PAYING BY CREDIT CARD AND FAXING IN (916) 663-4510 - PRINT NEATLY!
CIRCLE OR CHECK ONE: _____VISA -OR- _____MASTERCARD


CC#: ___________ ___________ ___________

PHONE: (________) __________ _____________

___


CARD EXP. DATE_______/_______/_______

3 DIG SEC CD: _____ - _____ - _____

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