Fighter Registration Process | Rebellion Muaythai

Step 1: Fighter Registration & Onboarding

Step 1: Fighter Registration

& Onboarding

Fighter Registration

Please complete your Fighter Registration thoroughly as this information is crucial for us to share with regulatory bodies, third-party vendors, and other partners.

Fighters Name *

Legal Name As Appears On Passport

Email *

Phone *

Instagram Profile

Preferred Name *

First and Last names as you prefer to be announced and appear on graphics.

Nickname - if applicable

eg: "The Weapon" / "Hands of Stone"

Date of birth *

Age In Years *

Height *

In Centimeters

Gym/Team Name *

Head Trainer *

Head Trainer Email *

Head Trainer Phone Number *

Professional Record

Fights
Wins
Losses
Draws
Wins by KO

IF PRO DEBUT PLEASE PROCEED TO NEXT QUESTION

Amateur Record

Fights
Wins
Losses
Draws
Wins by KO

Please only include in the case you have less than 5 professional fights

Major Titles Held

ONLY INCLUDE STATE / NATIONAL OR INTERNATIONAL BELTS WBC OR WMC ONLY OR ESTABLISHED THAI STADIUMS

Name of last 3 opponents - indicate result

Opponent 1
Opponent 2
Opponent 3

Professional Only - For e.g Opponent Name - Win Opponent Name - Loss Opponent Name - Draw

Banking Details

Bank
BSB
Account Number
Name On Account

For payment of Purse and Ticket Commission (Australia Based Fighters Only)

Walk Out Song *

Artist Name
Track Name
Album/Version

Song must be available on iTunes store to purchase. Please don't submit links.

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