Personal Trainer Client Intake Form

Fighter Registration

OVER THE ROPES #1 BANGKOK, THAILAND
Name

Preferred First NameLast Name
Pronouns
Age at time of competition?
Years
Height
ft, inches
Dominant stance
ft, inches
Competition Weight PLEASE NOTE: although it is normal for body weight to reduce during a fight camp, WATER CUTTING IS EXPRESSLY FORBIDDEN under AFA rules and regulations. Anyone found to be doing a water cut will be disqualified. We’d like to encourage everyone to stay healthy, hydrated and fueled during training. We also request that you openly communicate with our team if a projected reduction in weight isn’t going as planned. This will allow us time to communicate with other teams and the pool of competitors to safely find matchups for everyone.
lbs
Phone Number (optional)
Format: (000) 000-0000.
Email
example@example.com
Signal or social media handle for alternate contact method
Gym or Organization representing and city/state
Ex. Red Panda - Seattle, WA
Current record/experience (include smokers, exhibitions, sanctioned fights in all martial arts disciplines and time spent training)
Ex. Amateur 1-0, 2 smokers, 3 years of Muay Thai
What discipline will you be competing in? Please keep in mind that we are competing in the birthplace of Muay Thai and so Muay Thai match ups will be prioritized over kickboxing.
All fights will be full contact - stadium rules Muay Thai or full contact K-1.
Do you have any footage you can provide AFA (fight footage, bag/pad work, sparring, etc.)? PLEASE NOTE: this footage is being used to insure safe & even match ups. Any fighter who is matched with an opponent from Red Panda Muay Thai will receive equal or better footage of our fighter to insure fairness.
File Upload - If you have a fighter photo you would like to submit for social media and event posters, you may upload them here.

Cancelof
File Upload - If you can please submit sparring or pad/bag footage here.

Cancelof
How does gender identity, gendered experiences, and/or gender-affirming hormone therapy inform your consideration of potential opponents? (Please be concise with your answer.)
What is your fighter name?
What is your walkout song (include artist and song title or link)?
Do you consent to having your match be live-streamed and/or photographed during the event? NOTE: most or all matches will potentially be live streamed or televised.
If you are matched, you will have to pay a fighters deposit fee that will be refunded after weigh-ins on the day of event:
Copy paste the link below into your web browser to fill out and submit the Open Mat Project scholarship form! https://form.jotform.com/26171693983506
Do you need travel funds? PLEASE NOTE that your monetary expenses may not be covered in full due to the amount of available funds. We will do our absolute best to cover a percentage of your travel cost but this is a big and expensive trip for a lot of people, including our own staff.
Do you have any additional notes or considerations for AFA?
Should be Empty:

Fighter Registration

Copy paste the link below into your web browser to fill out and submit the Open Mat Project scholarship form! https://form.jotform.com/26171693983506