Wisconsin Rumble - Contestant Entry Form

< Wisconsin Rumble - Contestant Entry Form

The Original - Milwaukee Rumble® 2012
Preliminary Contestant Entry Form

The information you provide will be used to verify eligibility to the contest. Other information may be usefull for contestant matching, or announcements when entering the ring.

Note: A field with an * next to it must be completed before the form can be submitted


*First Name	required.Minimum number of characters not met.
*Last Name	required.Minimum number of characters not met.
*E-mail	required.Invalid format.Minimum number of characters not met.

*Home Phone	required.Invalid format.Example: (555) 555-5555

*Address	required.Minimum number of characters not met.
*City	required.Minimum number of characters not met.
*State	Please select an item.
*Zip Code	required.Invalid format.

Occupation

*Birth Date	required.Invalid format.
*Age	required.Invalid format.Minimum number of characters not met.Exceeded maximum number of characters.
*Height	required.Minimum number of characters not met.Invalid format.Example: 6' 0"
*Weight	required.Invalid format.The entered value is less than the minimum required.Exceeded maximum number of characters.lbs.
*Gender	Please select an item.

Do you have any previous MMA, Boxing, or Kickboxing experience?
Yes No Please make a selection.
If you selected yes, please list detials.


Have you ever competed in the Milwaukee Rumble before?
Yes No Please make a selection.
If you selected yes, please list event information and date(s).


You may use this section to include any interesting information about yourself.
A value is required.

THIS FORM IS NOT AN AUTOMATIC ENTRANCE TO THE CONTEST This information will be reviewed by a Milwaukee Rumble representative. Upon selection for entry to the contest our office will contact you with further information to complete the process.

Click here to view out Privacy Policy Statement
The information contained in this document is for official use only and shall not be sold to
any third party. All information contained in this document is for use by Milwaukee Rumble only.

Home	Contat Us	Privacy
The official website of the Milwaukke Rumble© Copyright ©2012 Goto Promotions. All rights reserved

...