$165.00
1054 in stock
Email Address: *
Athlete First Name: *
Athlete Last Name: *
Date of Birth (mm/dd/yyyy): *
Gender: * Male Female
WAKO Membership ID (All fighters must have an active WAKO membership): *
WAKO Membership Expiration: *
Organization/Gym: *
Home Phone: *
Cell Phone: *
Rule Set: * K1 Low Kick Full Contact
Divisions (Please mind that the male divisions start with an "M" and the females with an "F" to differentiate accordingly.: * M-51 kg (112.4 lbs.) M-54 kg (119 lbs.) M-57 kg (125.7 lbs.) M-60 kg (132.2 lbs.) M-63.5 kg (139.9 lbs.) M-67 kg (147.7 lbs.) M-71 kg (156.5 lbs.) M-75 kg (165.3 lbs.) M-81 kg (178.5 lbs.) M-86 kg (189.5 lbs.) M-91 kg (200.6 lbs.) M+91 kg (+200.6 lbs.) F-48 kg (105.8 lbs.) F-52 kg (114.6 lbs.) F-56 kg (123.4 lbs.) F-60 kg (132.2 lbs.) F-65 kg (143.3 lbs.) F-70 kg (154.3 lbs.) F+70 kg (+154.3 lbs.)
Fight Record (Wins - KO’s - Losses ) *Please include total counts for all combat sports.: *
Street Address: *
City, State: *
Zip Code: *
Weight: *
Height: *
Age: *
Release of Liability: * I HAVE READ AND FULLY UNDERSTAND THIS RELEASE WAIVER COVENANT NOT TO SUE AND RELEASE OF LIKENESS I UNDERSTAND THAT I HAVE GIVEN UP ON BEHALF OF MYSELF AND MY CHILD/WARD SUBSTANTIAL RIGHTS BY SIGNING IT AND SIGN IT FREELY AND VOLUNTARILY