MBA NEW MEMBER REGISTRATION FORM 2026
WHAT COUNTRY WOULD YOU LIKE TO REPRESENT
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ALL FIELDS NEED TO BE FILLED OUT OR THIS FORM CANNOT BE SUBMITTED.
First Name
*
Last Name
*
City
*
State
*
Please Select
NSW
QLD
VIC
SA
WA
ACT
NT
TAS
New Zealand
other
Postal/Zip Code
*
Country
*
Mobile Phone Number
*
Email
*
example@example.com
Gender
*
Male
Female
What MBI Championships will you be entering in 2026
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THE TITLE SUMMIT GOLD COAST - JUNE 20
MBA GOLDEN GLOVES - SYDNEY - August 14-15
UK GOLDEN GLOVES LEEDS - ENGLAND-SEPTEMBER 25-26
MBA OCEANIA TITLES - Gold Coast - NOVEMBER 5-6-7
WHAT IS YOUR AGE TODAY
*
please note that if registering for an MBI 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
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HOW MANY FIGHTS HAVE YOU HAD- PLEASE INCLUDE EXHIBITIONS
*
Please Select
0
1-5
6+
Fight record - WINS
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Fight record - LOSSES
*
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 inside the last 12 months
*
Please Select
YES
NO
I understand that when competing in any competition for the MBI, I will need the following
*
Doctors clearance to compete
Serology test for Hepatitis, HIV.
Mouthguard and protector cup
ALL OF THE ABOVE
"I acknowledge that my email confirmation may be in my junk mail.
*
yes
PLEASE NOTE THAT THIS FORM REGISTERS YOU FOR MBI MEMBERSHIP ONLY. THIS DOES NOT REGISTER YOU FOR ANY EVENTS THAT MBI HAVE COMING UP.
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Yes
New Member
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2026 MBA Membership
Membership expires December 31st 2026
$150.00 AUD
$
150.00
AUD
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