UBA WCS CHAMPIONS
Do you understand that submitting inaccurate or misleading championship information may result in promotional delays or denial of promotional graphics?
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YES
What is your email address?
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example@example.com
What is your first & last name? (NO NICKNAMES PLEASE!!!!)
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First Name
Last Name
What is the first & last name of your tag team partner (if not applicable, insert n/a)
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First Name
Last Name
What is the name of your UBA franchise?
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What was the date of the match being referenced in this submission? (Ex. Championship win, Successful Defense or Failed defense
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-
Month
-
Day
Year
Date
What was the outcome of this match?
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Won Championship
Successfully Defended Championship
Lost Championship
Vacated Championship
Interim Championship Win
What was your championship status entering this match?
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Challenger
Current Champion
Former Champion
Interim Champion
Not applicable
Including this match, how many total successful title defenses have you completed?
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Was this defense successful?
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YES
NO
Not applicable
Who was your opponent in this match?
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First Name
Last Name
Who won this match?
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I won
My opponent won
Please select the type of promotional graphic requested
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New Champion Graphic
Successful Defense Graphic
Contender Graphic
Championship Match Announcement
Former Champion Graphic
Other
If you selected other, please describe your desired promotional graphic. If you did not select other, please skip to the next question.
Has this result been verified by your WCS Coordinator?
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YES
NO
Verification is pending
Who is your WCS Coordinator?
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GORDON PEPPER
SAGIRAH WHEELER
RAY GILLESPIE
Which WCS Conference are you a part of?
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Central
Deep South
Northeast/Atlantic
Southeast
Which series did you win the championship match?
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World Champion
Heavyweight
Cruiserweight
Welterweight
Vixens
Vixens Tag Team
Capped Tag Team
Uncapped Tag Team
Upload the match scoresheet or verification screenshot. (Optional but HIGHLY RECOMMENDED)
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I understand that my picture may be used to create promotional material for the UBA
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YES
***PLEASE UPLOAD A FULL BODY CHAMPIONSHIP PHOTO WITH YOUR BELT & UBA JERSEY. NO SELFIES PERMITTED PLEASE!!!
*
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Additional Information (Optional)
By submitting this form, I confirm that all information provided is accurate to the best of my knowledge?
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YES
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