Combat Collision Registration Form

First Name

Last Name

Gym / Team Name

Birthday

Month

Day

Year

Weight

Height

Skill Level

Training experience / fight record (strikers) / BJJ rank (grapplers)

Fight Stance

Muay Thai, Kickboxing, and Boxing competitors only

Email

Phone

Instagram Account

Photo

Please upload a photo (waist up) to be used for a matchup flyer

*Registration does NOT guaruntee a match. Please be patient, we will reach out to you as soon as we have a potential matchup!

*If you can no longer compete after registration, please let us know so we do not continue searching for an opponent!

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