Contact:  bob@otcmma.com         .

 

 

Beasts Unleashed...
 ...and ready to roll!     .

 

 

Fighter Information

To submit your application for the upcoming OTC MMA event, please complete ALL FIELDS on this Fighter Information form and click the Submit button at the bottom. 

If you have any problems with this form, double-check the email address you entered to ensure it is a valid email format and the account is active.  IF YOU STILL HAVE PROBLEMS SUBMITTING THE FORM, PLEASE EMAIL KIM@OTCMMA.COM DIRECTLY.

You will receive a confirmation email, and from there, our Promoter and Match-maker will review your information and contact you and/or your coach if they have potential matches for you on our upcoming fight card.
 

Full Name:

 

Street Address:

 
City, State  Zip:   ,              
Email Address:  

Fighter’s Cell #:

 
Date of Birth:    If under 18,
 Parent or Guardian Name:		 Parent or Guardian
Contact #:

Gender:

  Male      Female    

 

 

 

Fight Weight class:

  115     125     135     145      155      170     185     205     265
     

Amateur / Pro:

Amateur      Pro

Fight Record:

   Wins    Losses  Draws

Height:

   ft.         in.

Reach:

  in.

 

 

  

Gym Name:

 

Coach’s Name:

 

Coach’s Cell #:

 
Corners:     ( 2 corners allowed for Amateurs / 3 corners allowed for Pros )

How long have you been training?

 

What styles do
you train in?



( Hold down the
CTRL key to select
more than one style )

 

 


If you have any problems with this form, double-check the email address you entered to ensure it is a valid email format and the account is active. IF YOU STILL HAVE PROBLEMS SUBMITTING THE FORM, PLEASE EMAIL KIM@OTCMMA.COM DIRECTLY.
 


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