Agree to fighter Terms and Conditions*
Subject: *
Email:
First Name: *
Last Name: *
Phone Number: *
Street Address: *
Address Line 2: *
City: *
State: *
Postal Code: *
Country: *
Date of Birth: *
Age: *
Weight: *
Height: *
Fighting Style/Experience: *
Training facility/Gym: *
Occupation/Department (Fire Fighters & Police only): *
Fighter Registered/Licensed: *

* Required  

Fighter Registration Form

I understand that I am participating in a sport that has body contact and understand that injury can occur with my participation. I assume full responsibility for all of my actions during and connected to the above tournament. I understand the risk of competing in this form of Mixed Martial Arts competition and hereby release the event organizers/Promoter and all of its employees and associates, tournament sponsors and the event facility, from any type of injury, loss, or death sustained while competing in this competition.

I also state that I am in good physical condition and know of no reason why I cannot participate in this event. I have current and valid health insurance.
In case of an emergency, I hereby authorize any licensed medical personnel to perform any accepted medical procedure deemed necessary and I agree to bear the expense of any such treatment. I also agree that my attendance and/or performance at the tournament will be photographed, filmed, and/or taped and used exclusively by Xtreme Cage Wars Inc., for promotional and/or commercial purposes and I waive any compensation thereof. I agree to not use ANY footage obtained at the event for commercial purposes without expressed, written consent from Xtreme Cage Wars Inc.
I have read and understood the risk involved and release above and agree to all of its terms.

Copyright. 2012 Xtreme Cage Wars, Inc. All rights reserved.