WBC MUAYTHAI UK PROMOTER’S UNDER 18s CHAMPIONSHIP BOUT REQUEST Date of bout Request; This letter is a formal request to stage a WBC Muaythai Under 18s Title Championship and submitted for committee approval. By submitting this request you agree to abide by the bout authorization agreement, rules and regulations of the WBC Muaythai and UK committee. A parental consent form must also be completed and received before consent may be given. The championship will be for: (Clearly write the name of title and weight division) Venue name and address: Date of event: List full details of both contenders, fight records e.g. 10 wins 5 loses 1 draw, D.O.B. Name & D.O.B. Fight record to date: Name of opponents, dates and record of last three fights: Name & D.O.B. record to date: Name of opponents, dates and record of last three fights: I understand it is the responsibility of the promoter to fully insure the event and ensure all fighters have insurance as required and that it’s the promoter’s responsibility to pay all ring officials fees/expenses 3 judges, 1 referee and 1 fight supervisor the agreed amount for this championship contest. The names of the ring officials for approval are as follows: Referee: Judge 1: Judge 2: Judge 3: Promoters details Name: Mobile: Email: An administration fee is payable to the WBC UK admin for this request. Send all requests to: . Note: Partly completed request forms will be returned and will not be given approval Review March 2015.
WBC MUAYTHAI UK PROMOTER’S UNDER 18s CHAMPIONSHIP BOUT REQUEST Date of bout Request; This letter is a formal request to stage a WBC Muaythai Under 18s Title Championship and submitted for committee approval. By submitting this request you agree to abide by the bout authorization agreement, rules and regulations of the WBC Muaythai and UK committee. A parental consent form must also be completed and received before consent may be given. The championship will be for: (Clearly write the name of title and weight division) Venue name and address: Date of event: List full details of both contenders, fight records e.g. 10 wins 5 loses 1 draw, D.O.B. Name & D.O.B. Fight record to date: Name of opponents, dates and record of last three fights: Name & D.O.B. record to date: Name of opponents, dates and record of last three fights: I understand it is the responsibility of the promoter to fully insure the event and ensure all fighters have insurance as required and that it’s the promoter’s responsibility to pay all ring officials fees/expenses 3 judges, 1 referee and 1 fight supervisor the agreed amount for this championship contest. The names of the ring officials for approval are as follows: Referee: Judge 1: Judge 2: Judge 3: Promoters details Name: Mobile: Email: An administration fee is payable to the WBC UK admin for this request. Send all requests to: . Note: Partly completed request forms will be returned and will not be given approval Review March 2015.