Date of Birth*
Years of Experience
Trainers Phone No
Name of Gym
If you are 17 years old or younger this section must be signed by your parent or legal guardian.
certify that I am the parent/legal guardian of
years of age and that he/she has my consent to join the International World Kickboxing Federation.
Parent/Guardian Phone Number
Address of Parent/legal Guardian
I understand that Ringside Gym and Productions is in no way responsible for injuries of any type to myself, family or associates while travelling to and from and while attending and/or participating in the activities held by the Ringside Gym and Productions in any way whatsoever. I hereby agree to abide by the rules and regulations of proposed sanctioning body
1.Complete Full Medical
2. 1 Passport Size Photos
3. Registration Fee of AED 200 per year