Fighter Contract Participation Application Form - Iowa Athletic Commission
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1STATE OF IOWA
Iowa Athletic Commission - Fighter Contract
Pro ____ Amateur ____
Boxing ____ MMA ____
This Contract is required to be filed with the Iowa Athletic Commission seven (7) days prior to the event date.
This Contract is between the Promoter and the Fighter.
Fighter Full Name __________________________________ agrees to enter into a contest with
Fighter Opponent Full Name ________________________________ in ____ rounds x ____ minutes per round.
The sum of $_____._____ shall be paid to the Fighter after services are rendered. The contest shall take place at
the following location. Location Name: ___________________________ Address ___________________________
City _____________________ St. _______ Zip___________ on the following date _____-_____-_____.
Fighter’s weight shall not exceed ______ pounds, on the following date _____-_____-_____
at _____:_____ AM/PM o’clock, at ________________________________, IA.
The contest shall be held under the auspices of the Promoter:
Promoter Name on Bond ___________________________________ who shall be licensed by the Commissioner
of Athletics to conduct the above event on the date specified herein.
The Promoter agrees to provide the examination by an approved physician free of charge at the following
location: Location Name ________________________________ Address __________________________
City ____________________ St. ______ Zip __________ at the following time: ____:____ AM/PM o’clock on the
following date ____-____-____. The fighter agrees to appear on time to the weigh-in and the event or payment
will be null and void.
All parties agree the contest shall be governed by the laws, rules and regulations of the Commissioner of Athletics, which are on
file in the Commissioner’s office in Des Moines, IA and online at Fighter
further agrees that he/she is not suspended in any jurisdiction and has followed all rules set forth by the IAC. Fighter also
agrees to timely appear for weigh-in, physical examination, fighter information meeting and/or the contest itself, or failure to
follow any rules of the IAC, may result in sanctions up to and including suspension and payment to fighter will be null & void.
Fighter consents to the event officials who are:
J1 _____________________________; J2 ____________________________; J3 ____________________________;
R1 ____________________________; R2 ____________________________; TK___________________________.
The parties have entered this agreement on the _______ day of _____________________ 20_______.
By ____________________________________________
Signature of Fighter
Fighter Please Print……Full Name ___________________________ DOB ____-____-____ID# _________
Current Address ____________________________ City_______________ St. ______ Zip______________
Current Home Ph/Cell _____-_____-_____ Chief 2
___________________ Corner 2 _____________________
nd
_____________________________ _________________________________ ________________________________
Signature of Promoter or Representative
Please Print Name of Promoter or Representative Official Name of Promoter Company/ Business
____ Please check here if there is any addendum to this Contract & attach Addendum
Revised 12-2010
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