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Account Info

Username *

E-mail *

Password *

Password must be at least 7 characters long. To make it stronger, use upper and lower case letters, numbers and symbols.

Confirm Password *

Type your password again.

Strength Indicator

Athlete Info

Athlete Picture *

First Name *

Last Name *

Birth Date *

Format (MM/DD/YYYY)

Age *

Sex *

Male Female

T-Shirt Size *

Walking Weight *

List your CURRENT weight in lbs. DO NOT list your fight weight. <script type="text/javascript" id="WolframAlphaScript7594f7f6eb66ba720ba322361776bce1" src="//www.wolframalpha.com/widget/widget.jsp?id=7594f7f6eb66ba720ba322361776bce1&theme=blue"></script>

Height *

(Format e.g. 6'2") <script type="text/javascript" id="WolframAlphaScriptaa1b6b26d690368d6f74a35a7daa0916" src="//www.wolframalpha.com/widget/widget.jsp?id=aa1b6b26d690368d6f74a35a7daa0916&theme=blue"></script>

Contact Info

Address 1 *

Enter Your Street Address

Address 2

Enter Your Street Address (2nd Line or Unit #)

City *

Enter Your City

State/Province *

Enter Your State or Province

Zip/Postal Code *

Country *

Choose your Country

Phone Number *

(eg. Country Code+ xxx-xxx-xxxx)

Emergency Contact Info

Emergency Contact Name *

Emergency Contact Phone *

(Format - Country Code+000-000-0000)

Emergency Contact Relationship *

(Father/Mother/Grandparent/etc.)

Social Profiles

Facebook

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Twitter Username

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Experience Class & Weight Division

Weight Division *

Novice Class = 0-5 Muay Thai or MMA matches & Open Class = 6+ <br /> NOTE: The USMTO may change the your Weight Division or Experience Class in order to meet the needs of the Tournament (Involuntary Transfer). You may request a Voluntary Transfer to a different Weight Division or Experience Class at no charge as long as the USMTO receives the request within 48 hours of their event registration.<br> IF YOU HAVE AN ISSUE WITH THE DROP DOWN PLEASE <a href="https://usmto.freshdesk.com/support/solutions/articles/14000058832-why-can-t-i-select-a-weight-division-when-i-go-to-register-" target="_blank">CLICK THIS LINK</a><br>

Training Facility Info

Gym/Training Facility Name *

Gym Web Site

Trainer's Name *

Trainer's Email *

Trainer's Phone *

Facility Street Address *

Facility Street Address 2

Apt, Suite, Bldg. (optional)

Facility City *

Facility State/Province *

Facility Zip/Postal Code *

Total Time Training at ALL Gyms *

This will be confirmed with trainer.

Previous Gyms/Camps

Please provide us with the names of the past gyms/training facilities you have trained in. Also provide us with the names of your past trainers.

NOTE: The U.S. Muay Thai Open’s bracketing committee requires that all registrants update them with their latest match win/loss statistic. Registrants are solely responsible for reporting any changes to their win/loss records prior to the tournament. A participant may have to compete in a different weight division, or class in the event that there are significant changes to their records (“transfer”) prior to the tournament. The U.S. Muay Thai Open’s Bracketing Committee may transfer registrants at their discretion in order to meet the needs of the tournament.

MuayThai-Kickboxing-SanShou *

Format WINS-LOSSES-DRAWS-KNOCKOUTS (25-3-2-13)

Smokers/Exhibitions/Demos *

Muay Thai, Boxing, & MMA Only. Total Number Combined.

Boxing *

Format WINS-LOSSES-DRAWS-KNOCKOUTS (25-3-2-13)

MMA *

Format WINS-LOSSES-DRAWS-KNOCKOUTS (25-3-2-13)

NOTE: You are responsible for updating your win/loss record in your profile. The USMTO may disqualify registrants who are dishonest about their level of experience.

Notes or Comments

Use this section to add additional information about yourself, your win/loss record, or your level of experience.

PLEASE REVIEW ALL INFORMATION FOR ACCURACY BEFORE SUBMISSION.

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