MBA NEW MEMBER REGISTRATION FORM 2026
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ALL FIELDS NEED TO BE FILLED OUT OR THIS FORM CANNOT BE SUBMITTED.
First Name
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Last Name
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City
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State
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Please Select
NSW
QLD
VIC
SA
WA
ACT
NT
TAS
New Zealand
other
Postal/Zip Code
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Country
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Mobile Phone Number
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Email
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example@example.com
Gender
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Male
Female
Tick the box if you will be entering the MBI Oceania Titles in November 2026. These will be held at the same time as the 2026 Pan Pacific Masters Games?
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MBA OCEANIA TITLES - Gold Coast - NOVEMBER 5-6-7
WHAT IS YOUR AGE TODAY
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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
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Please Select
0
1-5
6+
Fight record - WINS
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Fight record - LOSSES
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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
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Please Select
YES
NO
I understand that when competing in any competition for the MBI, I will need the following
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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.
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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
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2026 MBA Membership
Membership expires December 31st 2026
$150.00 AUD
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