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ECO Fighter Registry
Name
*
(first/last name please)
Date of Birth
*
mm/dd/yyyy
Address
*
City
*
State
*
ZIP
*
Phone No.
*
Email Address
*
How Far you will Travel
miles
Walking Weight
lbs
Ideal Fighting Weight
lbs
Height
feet/inches (example: 5'10")
Amateur Record
wins-losses (example: 5-2)
Pro Record
wins-losses
Gym Affiliation
Years of Training
Type of Training
Trainers you have Worked With
Check if you have had a
Physical Exam
:
Check if you have had
Blood Work
done:
If you have fought for any promotions, list them:
If you hold any titles, list them:
Any other information you would like us to know?
Photo 1:
image file (.jpg, .png, .gif, etc…)
Photo 2:
Photo 3:
