ISCF FIGHTERS
LICENSE - REGISTRATION FORM
To Register Print out This form & MAIL to the ISCF
With Your Fee of *$25.00 - $30.00 If Paying by Visa/MC.
CREDIT CARDS Will Be Charged Thru Our
IKF/ISCF Graphics Department and Say
FOSTER GRAPHICS on your statement. FAX: (916) 663-4510
Registration Forms WITHOUT FEES will be Disposed of.

ISCF STAFF USE ONLY

  • SENT: ___/___/___
  • REC: ___/___/___
  • PAID: $_________
  • PHOTO: _______

- - - - - - "PLEASE PRINT NEATLY" - - - - - -
If we cannot read your printing, YOUR REGISTRATION WILL NOT BE ACCEPTED

  1. First & Last Name_______________________________________
  2. Upcoming Fight Date (If One) _____/_____/_____
  3. _____ Male _____ Female / _____Pro _____Amateur
  4. P.O. Box Or Physical Street Number:_________________________________________
  5. City: ____________________ State: _______ Zip: _______________ Country: ___________
  6. FIGHT RECORD - IF NO FIGHTS PLEASE WRITE -0- IN ALL BLANKS
  7. Your Average Weight Is: ________ lbs. - Height: ____'____"
  8. Age: ______ & Birthday (month, day & year): _____/_____/____
  9. Trainers Name: (List SELF if you train yourself)______________________________
  10. MANDATORY: Trainers/Contact Number: (______) _______________________
  11. Have you ever fought as a PRO in ANY Fight or Striking Sport (Boxing, MMA, Kickboxing)?: ______
  12. Have you ever been paid money for fighting in A Fight or Striking Sport (Boxing, MMA, Kickboxing)?: _______
  13. Last Opponent (If one): __________________________
    Where: _____________________Date of Bout: _____/_____/_____Result (Win or Lose etc): _______

  14. I certify the above Is true by signature here:________________________________, Date: ___/___/___

Please send all required information and fees to: IKF/ISCF Attn: RANKINGS DEPARTMENT
P.O. Box 1205, 9250 Cypress Street, Newcastle, CA, 95658, USA - (916) 663-2467 - FAX: (916) 663-4510

IF PAYING BY CREDIT CARD AND FAXING IN (916) 663-4510 - PRINT NEATLY!
YOUR STATEMENT WILL SAY "FOSTER GRAPHICS" WHICH IS OUR GRAPHICS DEPARTMENT
CIRCLE OR CHECK ONE: _____VISA -OR- _____MASTERCARD


CC#: ___________ ___________ ___________

PHONE: (________) __________ _____________

___

CARD EXP. DATE_______/_______/_______

3 DIG SEC CD: _____ - _____ - _____

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