Country team registration for World MMA Open Championship 2015

Country team registration for World MMA Open Championship 2015

Fill in and send back to: [e-mail]

Country: ___________________________________________________________________

NAME first name	Nationality	date of birth	female / male vet./master	weight class	MMA Grappling	MMA Light	MMA Full	MMA Sanda	MMA Elite
1.	EXAMPLE Alex		1996-1975	M	- 67		x			x
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Representatives / Coaches

	Name	Country Nationality
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Each Participating Country, Nations and Associations must bring a referee!

Referees / Judges

	Name	Country Nationality
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Country List: ________________________________________ MMA Light? MMA Full? MMA Grappling? MMA Sanda? MMA Elite?

Country: _________________________________________________________________________________________________________________

National Federation/Association's Name: _______________________________________________________________________________________

Name of Representative: ____________________________________________________________________________________________________

Address: _________________________________________________________________________________________________________________

E-mail: ____________________________________Telephone / Fax: ________________________________________________________________

Дата добавления: 2015-10-21