* denotes required fields
Name*
Email*
Mobile Phone*
Date of Birth & Current Age*
Height*
Weight Class (Please tick all that apply)
Strawweight - 115lbs/52.2kgsFlyweight - 125lbs/56.7kgsBantamweight - 135lbs/61.2kgsFeatherweight - 145lbs/65.8kgsLightweight - 155lbs/70.3kgsWelterweight - 170lbs/77.1kgsMiddleweight - 185lbs/83.9kgsLight Heavyweight - 205lbs/93.0kgsHeavyweight - 265lbs/120.2kgs
Which event are you interested in fighting in?* (Please tick all that apply)
MMARSDFC - AmateurDFC - Pro
Are you available to fight in our next event?*
—Please choose an option—YesNo
Name of your Gym
If you train yourself, please enter your own contact details below
Name of your Trainer*
Trainer Email Address*
Trainer Mobile Phone*
State*
—Please choose an option—South AustraliaVictoriaNew South WalesAustralian Capital TerritoryQueenslandNorthern TerritoryWestern Australia
MMA
Boxing
Thaiboxing/K1
Have you been graded in BJJ?*
If yes, what belt colour?
Have you been graded in Judo?*
How long have you been training in Martial Arts?*
—Please choose an option—Under 1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years+
Please provide any other relevant details such as any regional, state, Australian, World or other countries National Titles you may have won in ANY discipline
Other Info
What are you looking for?