MBI NEW MEMBER REGISTRATION FORM 2025

MBI NEW MEMBER REGISTRATION FORM 2025

NEW ZEALAND , AUSTRALIA, UNITED KINGDOM , OTHER
Please Select what MBI Country you want to join*
WHAT COUNTRY WOULD YOU LIKE TO REPRESENT

PLEASE UPLOAD PASSPORT PHOTO OR SIMILAR

A selfie is OK, as long as it is clear and recent.
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ALL FIELDS NEED TO BE FILLED OUT OR THIS FORM CANNOT BE SUBMITTED.
First Name
Last Name
City
State
Postal/Zip Code
Country
Mobile Phone Number
Email
example@example.com
Gender

MaleFemale
What MBI Championships will you be entering in 2025

MBA Oceania Titles - Sunshine Coast - June 20-21MBA Golden Gloves - Gold Coast - August 22-23MBI The United Belt - Adelaide - September - TBAMBI World Championships - Gold Coast - October 22-26
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
HOW MANY FIGHTS HAVE YOU HAD- PLEASE INCLUDE EXHIBITIONS
Fight record - WINS
Fight record - LOSSES
HAVE YOU FOUGHT AS A PROFESSIONAL IN ANY COMBAT SPORT IN THE LAST 24 MONTHS. Please note, you cannot register with MBA if you have fought as a pro inside the last 24 months
I understand that when competing in any competition for the MBI, I will need the following

Doctors clearance to competeSerology test for Hepatitis, HIV.Mouthguard and protector cupALL OF THE ABOVE
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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MBI MEMBERSHIP - NEW
$130.00AUD Quantity

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