RegForm 21/12/25 | Muay Thai League New Zealand

DEC 20

First Name

Second Name

Date of Birth

Phone number

Gym/Club Name

***

weigh-in is on the same day—no weight cutting is recommended.

If you fail to make weight:

- Weight tolerance: 400 grams

- Exceeding 400 grams results in point deduction or moving to the next category.

***

Fights, including TKD/Karate/WAKO/Light Contact/Exhibition/etc

I understand that muay thai is a potentially hazardous activity. I am voluntarily participating in this event with the knowledge of the dangers involved. I hereby do declare myself to be physically sound and suffering from no condition, impairment, disease, infirmity or other illness that may prevent my participation. I agree that failure to disclose any existing conditions may result in expulsion. I hereby agree to expressly assume and accept any and all risks of such injury

Hereby, I grant permission for the filming of my fight and agree that all video and photo footage are the assets of FMT CUP promotion. By participating in this event, I understand and acknowledge the following: Consent for Filming: I willingly grant permission for the filming of my fight during the event. Ownership of Footage: I acknowledge and agree that all video and photo footage captured during the event are the assets of FMT CUP promotion.

Thank you!