2021 IKF WORLD CLASSIC AMATEUR MUAY THAI & WORLD CHAMPIONSHIPS July 2nd, 3rd & 4th, 2021 - Hyatt Regency Orlando, Orlando, Florida, USA FIGHTER REGISTRATION FORM IKF STAFF ONLY: REC: ____/____/____ PAID: $______PHOTO: __JR. BC: __ LATE FEE?: ______FILL IN ALL INFO - MISSED INFO COULD DENY YOUR REGISTRATION! PAY PAL, CHECK OR CASH ONLY - PRINT NEATLY! IF USING PAY PAL - IT IS MANDATORY YOU INCLUDE PAY PAL REC WITH THIS FORM ______PRINT NEAT! - IF WE CANNOT READ YOUR WRITING YOU WILL NOT BE REGISTERED!! ALL LINES ARE MANDATORY - REGISTRATION FORMS WITH BLANK LINES WILL BE DESPOSED!

1. FIGHTERS FIRST NAME  2. FIGHTERS LAST NAME  JR. BOYS JR. GIRLS MASTERS CHECK -1- SKILL LEVEL CHECK -1- RULE STYLE MEN WOMEN 8-17 8-17 35-50   NOVICE SKILL DIVISION  ALL AGES FULL CONTACT       - 5 FIGHTS OR LESS -  ALL AGES INTERNATIONAL M W - TROPHY CUP DIVISION -   ALL AGES MODIFIED MUAY  THAI - NO ELBOWS  OPEN SKILL DIVISION   -     ANY SKILL LEVEL -  AGES 18+ ONLY: FULL MUAY CHAMPIONSHIP BELT M W THAI - WITH ELBOWS.

WEIGHTCLASS WEIGHT: ____LBS - ____LBS

3. YOUR COMPLETE FIGHT RECORD: W=Wins, L=Loses, D=Draws, KO'S & TKO's= or Technical . FILL IN ALL BLANKS!! - PLEASE WRITE A - 0 - IF NO FIGHT RECORD. FULL COMPETITION KICKBOXING AND OR MUAY THAI BOUTS: W: ____ L: ____ D: ___ KO'S/TKO's: ___ “SMOKER / PKB OR TRAINING KICKBOXING & OR MUAY THAI: W: ____ L: ____ D: ___ KO'S/TKO's: ___ AMATEUR BOUTS: W: ____ L: ____ D: ___ KO'S/TKO's: ___ AMATEUR MMA BOUTS (Mixed ) W: ____ L: ____ D: ___ KO'S/TKO's: ___ 4. YOUR CITY: ______STATE/PROV: ______COUNTRY: ______5. CURRENT AGE: ____ & DOB (MO, Day & YR): ____/____/____ - HEIGHT IN FEET & INCHES: _____'_____"

IF UNDER 18 YOU MUST INCLUDE A COPY OF YOUR BIRTH CERTIFICATE WITH REGISTRATION. 6. YOUR PHONE NUMBER: ______

7. TRAINERPHONE  8. TRAINERS City: ______State/Prov: ______Country: ______9. DO NOT FORGET TO REGISTER YOUR TRAINER'S / CORNERMEN: Cornerman Registration Can Be Paid Now (AND SAVE A LOT) OR Pay A LOT MORE At Event Weigh-ins. GO TO: www.IKFKickboxing.com/WCCNTInfo.htm 10. Print out this Form, Complete & Scan & e-mail or MAIL to the IKF with your Registration Fee of ______11. SEE: www.IKFKickboxing.com/WCDeadlines.htm o Checks should be made out to IKF KICKBOXING. 12. MANDATORY: YOU MUST INCLUDE A 2" x 2" HEADSHOT PHOTO of yourself WITH YOUR REGISTRATION! 13. MAIL: IKF, P. O. Box 1205, Newcastle, CA, 95658 OR 9250 Cypress Street, Newcastle, CA, 95658, ATN: WC - FIGHTER 14. NO REFUNDS! If you are Injured, Drop Out, Show up and you have no one in your Division. THE ONLY REFUND EXCEPTION Is We WILL REFUND YOU if we are unable to get you a match. 15. Have You Ever Been Paid to Fight? _____ - Ever Fought A Pro? _____ - Ever Fought AS A Pro? _____ 16. Have You Ever Competed In The IKF World Classic Before? _____ If So, What Years? ______17. Have You Ever Won an IKF World Classic Title Before? _____ If So, What Years? ______RELEASE FROM LIABILITY PAGE This RELEASE of Liability is a Legal Contract binding upon You, ______The International Kickboxing Federation (Hereafter know as IKF), the Hyatt Regency Orlando and any and all companies, federations or organizations associates, officials, employees and staff of this event. Read It Carefully And Obtain Legal Assistance If You Do Not Understand It. 1: Voluntary Application. I, the undersigned, acknowledge and state that I have voluntarily applied to compete in the 2021 IKF Amateur Muay Thai & Kickboxing World Championships, July 2nd, 3rd & 4th, 2021 at The Hyatt Regency Orlando, Orlando, Florida, USA 2: Assumption of risk. I am aware & understand that in general, full contact fighting is a dangerous & hazardous activity, & in particular, the techniques & methods of this convention, all in which as a competitor in this competition, I shall be participating, is an extremely dangerous & hazardous event. I am voluntarily & of my own free will submitting an application to compete in this event with full knowledge & understanding of the hazards involved. I hereby consent & agree to completely accept alone any & all risks of injury or death. 3: Release: In consideration for (a) being accepted as a competitor of the 2021 IKF Amateur Muay Thai & Kickboxing World Championships, (b) being entitled to participate in activities conducted and sponsored by the IKF (International Kickboxing Federation and (c) being permitted to use facilities and equipment, whether owned or leased by The IKF and all associates, officials, employees, staff, The Hyatt Regency Orlando and fellow participants and trainers/coaches. I hereby agree that I, my heirs, distributees, guardians, successors in interest and legal representatives (collectively referred to as "Releasor") will not make a claim or file an action or suit against, sue, or attach the property of (a) the 2021 IKF Amateur Muay Thai & Kickboxing World Championships, which would include The IKF or any and all of their officials, affiliated organizations, and/or their directors, officers, employees, agents or managers, fellow participants, trainers, The Hyatt Regency Orlando or any and all of their affiliated organizations, and/or their directors, officers, employees, agents or managers and (b) any or all manufacturers, distributors, wholesalers, suppliers and/or retailers of the facilities and equipment I will use in connection with any and all activities conducted and/or sponsored by The IKF and The Hyatt Regency Orlando and any and all of these companies, federations or organizations associates, officials, employees and staff (collectively referred to as the "suppliers"), The Suppliers and shall collectively be referred to as "Releasees" for damages, injury, emotional distress claims, bodily injury claims, and punitive damages, whether known or unknown, foreseen or not, due to or resulting from the acts, conduct, negligence, or misfeasance of, or omissions or failures to act by, the Releasees, or any of them. (a) being accepted as a competitor of the 2021 IKF Amateur Muay Thai & Kickboxing World Championships, (b) being entitled to participate in activities conducted and sponsored by the IKF and The Hyatt Regency Orlando and (c) being permitted to use facilities and equipment, whether owned or leased by The IKF and all associates, officials, employees, staff or by The Hyatt Regency Orlando or by fellow participants and trainers/coaches. I hereby agree that I, my heirs, distributees, guardians, successors in interest and legal representatives (collectively referred to as "Releasor") will not make a claim or file an action or suit against, sue, or attach the property of (a) the 2021 IKF Amateur Muay Thai & Kickboxing World Championships, which would include The IKF or any and all of their officials, affiliated organizations, and/or their directors, officers, employees, agents or managers, fellow participants, trainers, and (b) any or all manufacturers, distributors, wholesalers, suppliers and/or retailers of the facilities and equipment I will use in connection with any and all activities conducted and/or sponsored by The IKF, The Hyatt Regency Orlando sort and any and all of these companies, federations or organizations associates, officials, employees and staff (collectively referred to as the "suppliers") and The Hyatt Regency Orlando and any and all of these companies, federations or organizations associates, officials, employees, staff. The Suppliers and shall collectively be referred to as "Releasees), for damages, injury, emotional distress claims, bodily injury claims, and punitive damages, whether known or unknown, foreseen or not, due to or resulting from the acts, conduct, negligence, or misfeasance of, or omissions or failures to act by, the Releasees, or any of them. 4: Application of State Law: In further consideration of (a) being accepted as a competitor in the 2021 IKF Amateur Muay Thai & Kickboxing World Championships, (b) being entitled to participate in activities conducted and sponsored by The IKF, The Hyatt Regency Orlando and any and all of these companies, federations or organizations associates, officials, employees and staff, and (c) being permitted to use facilities and equipment, whether owned or leased by The IKF, The Hyatt Regency Orlando and any and all of these companies, federations or organizations associates, officials, employees and staff, I hereby agree that this Release from Liability shall be interpreted under and construed in accordance with the Florida State law only, without the benefit of and fully disregarding all Florida State conflicts of laws provisions, so that any and all disputes, contentions, disagreements or controversies arising from or related to (a) this Release from Liability, (b) the application for acceptance into the Challenge, or (c) my participation in any and all activities conducted or sponsored by The IKF, The Hyatt Regency Orlando and any and all of these companies, federations or organizations associates, officials, employees and staff and Shall be interpreted under and in accordance with only the Florida State law regardless of my domicile or residency; and that the only court in which an action or suit may be brought in connection with the foregoing shall be the court of original jurisdiction of the State of Florida. Further, I waive any right I may have to assert the doctrine of forum non conveniens or similar doctrine or to object to venue with respect to any proceeding brought in accordance with this Release, and I stipulate that the Florida courts shall have in personam jurisdiction and venue over me for the purpose of litigation any dispute, controversy, or proceeding arising out of or related to this Release, The IKF, The Hyatt Regency Orlando and any and all of their associates, officials, employees and staff. 5: Health Advisory and Condition. I hereby acknowledge and understand that participating in this event involves extremely strenuous physical activity and heavy physical contact, and that I have been advised to consult a physician before commencing and undertaking such activity. I hereby represent that, to the best of my knowledge, I am in good physical health and condition, sufficient to undertake this dangerous and hazardous competition. 6: Knowing and Voluntary Execution. I hereby declare that I have read this Release from Liability, and that I fully understand the meaning and importance of its contents. I acknowledge that this Release is a binding contract among The IKF, The Hyatt Regency Orlando and any and all of these companies, federations or organizations associates, officials, employees, staff and myself, and that under this contract I am releasing The IKF (International Kickboxing Federation) The Hyatt Regency Orlando and any and all of these companies, federations or organizations associates, officials, employees and staff from all liability for claims I may have against them. I further declare and represent that I am at least 18 years of age, that I have full legal capacity to be bound by this contract, and that I am signing this contract of my own free will and accord.

Executed at ______AM/PM, on this ______day of ______, in the year 20_____. Applicant If OVER 18 Sign Below - If Not See Below

Signature: ______Print Name: ______UNDER 18 FIGHTER - PARENTAL WAIVER

I, ______(parent/guardian) the parent and guardian of ______(minor fighters name) hereby agree to the above RELEASE FROM LIABILITY on behalf of the minor named herein and bind myself and said minor to the terms and conditions of this waiver and release. I have legal capacity and authority to act for and on behalf of the minor name herein, and I agree to indemnify and hold harmless the persons or entities mentioned above for any claims or liabilities assessed against them.

Signature: ______Print Name: ______FIGHTER CHECK LIST - YOU DO NOT NEED TO SEND IN THIS PAGE. NOTE DATE OF YOUR REGISTRATION AND FEES TO PAY FEE BY CHECK FEE BY CREDIT CARD REGISTRATION "RECEIVED AT IKF OFFICE - DEADLINE DATES MONEY ORDER OR PAY PAL SPECIAL LOYALITY OFFER Fighters Who Register By 5:00 PM, Thursday, October 2nd, 2020 Will Receive The Best Discount! $55.00 - Includes Pay Pal Fees If One Gym Registers 8 Or More Fighters BY THIS TIME - They Will Receive 1 Chief & 1 Assistant Trainers Pass FOR FREE! "RECEIVED" AT IKF OFFICE BY 5:PM/PST SHARP November 1st, 2021 $65.00 $70.00 "RECEIVED" AT IKF OFFICE BY 5:00 PM/PST March 26th. 2021 $70.00 $75.00 Received BETWEEN 5:01 PM/PST March 26th. 2021 & 5:00 PM April 26th, 2021 $80.00 $85.00 AFTER 5:01 PM/PST May 7th, 2021: FIGHTER CAN ONLY REGISTER INTO A FIGHTER BRACKET WHERE THERE ARE ALREADY FIGHTERS! CHECK YOUR WEIGHT AND RULE STYLE BRACKET "BEFORE" YOU REGISTER! http://www.ikfkickboxing.com/1WC21Finalist.htm Received BETWEEN 5:00 PM/PST April 26th, 2021 & 5:00 PM May 10th, 2021. $90.00 $95.00 Received BETWEEN 5:01 PM/PST May 10th, 2021 & 5:00 PM May 17th, 2021. $100.00 $105.00 REGISTRATIONS Received AFTER 5:01 PM/PST May 17th, 2021 BUT BEFORE 5:00 PM/PST May 21st, 2021...... $130.00 $135.00 REGISTRATIONS Received AFTER 5:01 PM/PST May 21st, 2021 BUT BEFORE 5:00 PM/PST May 28th, 2021...... $140.00 $145.00 REGISTRATIONS Received AFTER 5:01 PM/PST May 28th, 2021 BUT BEFORE 5:00 PM/PST June 4th, 2021...... $150.00 $155.00 REGISTRATIONS Received AFTER 5:01 PM/PST June 4th, 2021 BUT BEFORE 5:00 PM/PST June 11th, 2021...... $160.00 $165.00 LATE ADDITION REGISTRATIONS The IKF will accept what is called "LATE ADDITION REGISTRATIONS". These Registrations are as follows: Registrations Received Between 5:01 PM/PST FRIDAY, June 11th, 2021 until THURSDAY, 5:00 PM/PST, June 17th, 2021...... $185.00 $190.00 MUST INCLUDE PASSPORT HEADSHOT PHOTO! NO PHOTO, NO REGISTRATION! Photo can be mailed if RECEIVED at IKF Office BEFORE FRIDAY, NOVEMBER 6th, 2021 AT 5:00 PM/PST. NO REGISTRATIONS WILL BE ACCEPTED AFTER THURSDAY, 5:00 PM/PST, June 17th, 2021. ______

DO NOT FORGET - CHECK OFF THESE ITEMS TO ASSURE CORRECT REGISTRATION. 1. _____ MANDATORY: Include a 2" x 2" HEADSHOT PHOTO of yourself in your mailed envelope. 2. _____ DO NOT FORGET TO REGISTER YOUR TRAINER'S AND OR CORNERMEN. Cornerman Registration Can Be Paid Now (AND SAVE A LOT) OR Pay A LOT MORE At Event Weigh-ins. GO TO: www.ikfkickboxing.com/WCCNTInfo.htm for Cornerman Registration Info. 3. _____ WRITE OUT the Weightclass (Welter, Middle, Super Middle, etc.) you want to registering in to. 4. _____ WRITE OUT the ACTUAL Weightclass SPREAD (EXAMPLE: 159-165, etc.) you are registering in to. WEIGHTCLASSES & SPREADS: www.IKFKickboxing.com/WCweights.htm 5. _____ BOX CHECK the SKILL LEVEL (NOVICE OR OPEN) you are registering in to. 6. _____ BOX CHECK the RULE STYLE you want to fight in. 7. _____ MAKE SURE YOUR "PRINTING" IS NEAT AND LEDGABLE! If we cannot read it, WE WILL NOT REGISTER YOU! If so, you will need to pay any additional late fees due once we have a form from you we can read. 2021 IKF WORLD CLASSIC AMATEUR MUAY THAI & KICKBOXING WORLD CHAMPIONSHIPS July 2nd, 3rd & 4th, 2021 - Hyatt Regency Orlando, Orlando, Florida, USA www.IKFKickboxing.com/WC21.htm