NEW MEMBER REGISTRATION FORM 2024

AN IMPORTANT ANNOUNCEMENT FOR THE UPCOMING PAC PACIFIC MASTERS GAMES 2024.
The following divisions are now closed. these are closed because they have no one in them and we dont hold much hope of getting 2 in that division to compete.

MENS Closed divisions

30-40 CADET 57.51KG - 65KG

30-40 CADET 87.5KG - 95KG

30-40 CADET 95.1KG - 102.5KG

30-40 COMBAT 57.51KG - 65KG

41-50 CADET 57.51KG - 65KG

41-50 COMBAT 57.51KG - 65KG

51-55 CADET 57.51KG - 65KG

51-55 CADET 65.1KG - 72.5KG

51-55 CADET 95.1KG - 102.5KG

51-55 CADET 102+

51-55 COMBAT 65.1KG - 72.5KG

51-55 COMBAT 87.5KG - 95KG

51-55 COMBAT 102.5KG+

51-55 OPEN 57.51KG - 65KG

51-55 OPEN 65.1KG - 72.5KG

56-60 CADET 57.51KG - 65KG

56-60 CADET 72.51KG - 80KG

56-60 CADET 87.5KG - 95KG

56-60 CADET 95.1KG - 102.5KG

56-60 COMBAT 72.51KG - 80KG

56-60 OPEN 57.51KG - 65KG

56-60 OPEN 72.51KG - 80KG

56-60 OPEN 95.1KG - 102.5KG

56-60 OPEN 102.5KG+

61+ CADET 72.51KG - 80KG

61+ CADET 95.1KG - 102.5KG

61+ COMBAT 57.51KG - 65KG

61+ COMBAT 65.1KG - 72.5KG

61+ COMBAT 87.5KG - 95KG

61+ COMBAT 95.1KG - 102.5KG

61+ COMBAT 102.5KG+

61+ OPEN 95.1KG - 102.5KG

61+ OPEN 102.5+

WOMENS CLOSED DIVISIONS

30-40 CADET 50.1KG - 57.5KG

30-40 CADET 72.51KG - 80KG

30-40 CADET 80.1KG - 87.5KG

30-40 CADET 87.5KG - 95KG

30-40 CADET 95.1KG - 102.5KG

30-40 CADET 102.5KG+

30-40 COMBAT 50.1KG - 57.5KG

30-40 COMBAT 80.1KG - 87.5KG

30-40 COMBAT 87.5KG - 95KG

30-40 OPEN 57.51KG - 65KG

30-40 OPEN 80.1KG - 87.5KG

30-40 OPEN 87.5KG - 95KG

30-40 OPEN 95.1KG - 102.5KG

30-40 OPEN 102.5KG+

41-50 CADET 50.1KG - 57.5KG

41-50 CADET 72.51KG - 80KG

41-50 CADET 80.1KG - 87.5KG

41-50 CADET 87.5KG - 95KG

41-50 CADET 95.1KG - 102.5KG

41-50 COMBAT 72.51KG - 80KG

41-50 COMBAT 80.1KG - 87.5KG

41-50 COMBAT 87.5KG - 95KG

41-50 COMBAT 95.1KG - 102.5KG

41-50 OPEN 50.1KG - 57.5KG

41-50 OPEN 65.1KG - 72.5KG

41-50 OPEN 72.51KG - 80KG

41-50 OPEN 80.1KG - 87.5KG

41-50 OPEN 87.5KG - 95KG

51-55 CADET ALL CLASSES

51-55 COMBAT 72.51KG - 80KG

51-55 COMBAT 102.5KG+

51-55 OPEN 57.51KG - 65KG - UP TO ALL CLASSES

56-60 CADET - ALL CLASSES CLOSED EXCEPT FOR 57.5-65 KG

56-60 COMBAT - ALL CLASSES CLOSED EXCEPT FOR 57.5-65 KG

56-60 OPEN CLASS - ALL CLASSES CLOSED

61 + ALL CADET CLASSES CLOSED - EXCEPT FOR 57.5-65

61 + ALL COMBAT CLASSES CLOSED - EXCEPT FOR 57.5-65

61 + ALL OPEN CLASSES CLOSED

WILL YOU BE COMPETING AT THE PANPACS

YESNO

PLEASE UPLOAD PASSPORT PHOTO OR SIMILAR *

Browse Files

A selfie is OK, as long as it is clear and recent.

First Name *

Last Name *

Name

First NameLast Name

Street address*

City *

State*

Postal/Zip Code*

Country*

Mobile Phone Number *

Mobile phone numbers only please

Phone Number

Country CodeArea CodePhone Number

Email*

example@example.com

Gender*

MaleFemale

Date Birth*

WHAT IS YOUR AGE TODAY *

please note that if registering for an MBA event, you will be asked what your age will be at the date of weigh-in for that specific event

WHAT IS YOUR WEIGHT TODAY*

HOW MANY FIGHTS HAVE YOU HAD- PLEASE INCLUDE EXHIBITIONS*

HAVE YOU FOUGHT AS A PROFESSIONAL IN ANY COMBAT SPORT IN THE LAST 12 MONTHS. Please note, you cannot register with MBA if you have fought as a pro in the last 12 months*

I understand that when competing in any competition for the MBA, I will need the following*

Doctors clearance to competeSerology test for Hepatitis, HIV, Cholesterol and prostate and if female if under 50, a pregnancy testMouthguard and protector cupALL OF THE ABOVE

PLEASE NOTE THAT THIS FORM REGISTERS YOU FOR MBA MEMBERSHIP ONLY. THIS DOES NOT REGISTER YOU FOR ANY EVENTS THAT MBA HAVE COMING UP.

Below are certificates that can be filled out if you dont want to wait for your book and these certificates can be uploded to the event entry form or sent via this link below.

https://form.jotform.com/242400757693056

Also, heres a link that you can email to your GP to fill out if your appoinment is through telehealth or the likes. The GP just submits the form and it comes strait to MBA.

https://form.jotform.com/242461404948055

Certificate of Fitness

Serological Certificate

ALL MERCH ORDERS ARE AVAILABLE AT THE PAN-PACS AT THE STORE *

MBA NEW MEMBERSHIP This is your 2024 MBA membership. please note, your membership expires December 31st 2024. the above fee includes your new record book and postage.

$130.00AUD Quantity

PANPACS EVENT T-SHIRT - TRILOGY "TRIBE"

$35.00AUD

Size	Quantity
S
M
L
XL
XXL
XXXL
4XL

MBA FIGHT SINGLETS - DISCOUNTED

$25.00AUD

SIZE	Quantity	COLOUR	STATE	Price
S				$25.00AUD
M				$25.00AUD
L				$25.00AUD
XL				$25.00AUD
XXL				$25.00AUD
XXXL				$25.00AUD

MBA FIGHT SHORTS - DISCOUNTED

$30.00AUD

COLOUR	Quantity	Size
Red
Blue

Total

$0.00AUD

Credit Card

NEW MEMBER REGISTRATION FORM 2024

ALL FIELDS NEED TO BE FILLED OUT OR THIS FORM CANNOT BE SUBMITTED.

Credit Card