USFL: Pankration Athlete License

Pankration Athlete License

Licensing will resume early 2014 after implementation of California State Athletic Commission recommendations. A $40 licensing fee will be implemented once licensing resumes.

This is an application for a USFL Youth Pankration license. Athletes who successfully complete the application process will be issued an annual USFL license and be entered in the athletes data base.

If contacted with a competition opportunity we ask that you respond promptly either accepting or rejecting the proposed bout. Failure to respond will result in removal from this database.

Please notify us if a change in weight, phone number, email address or Training Academy!!!

YOU SHOULD BE ABLE TO COMFORTABLY MAKE WEIGHT.
MOST USFL EVENTS HAVE SAME DAY WEIGH IN'S.
PLEASE DO NOT LIST A WEIGHT THAT YOU HAVE TO CUT DOWN TO!!!!

OTHER REQUIREMENTS TO OBTAIN A LICENSE:

1. A COPY OF BIRTH CERTIFICATE OR PASSPORT PROVING AGE .

2. A SIGNED AND DATED STATEMENT BY A PHYSICIAN INDICATING THAT YOU HAVE BEEN EXAMINED AND ARE FIT TO COMPETE IN CONTACT SPORTS. PHYSICIANS STATEMENT IS ONLY VAILD FOR A YEAR AFTER SIGNATURE.

If at anytime you wish to be removed from this database email jfrank128@cox.net

INFO:

Please note that this form contains limited capacity items which are sold out. They are displayed grayed out and/or are not selectable.

How would you like to pay?

When would you like to pay?

Registrant Fee:		$0.00
Group Fee:		$0.00
Registration Fee:
Quantity Discount:		-
Promotional Discount:		-
Subtotal:
Delayed Payment Surcharge:
Total Fee:

Billing information

First Name

Last Name

Country

Address

City

State/Province

Zip/Postal

Phone

Billing and Payment
Billing and payment processing for Businesses' events is performed by Member Solutions, Inc. ("MSI"), and this contract is specifically assigned to MSI for all such purposes. Customer knowingly and irrevocably authorizes MSI to charge electronically Customer's bank account and/or credit card for any and all amounts due for Customer's, and anyone registering under Customer's, attendance and participation in the Event. Please note, you may see all or any portion of the following on your bank or credit card statement: "MSI*SOCALPANKRATION 8882448044 ONLINE REG FEE". Any returned payment will be assessed a $25.00 fee. Any unsuccessful electronic transaction is subject to a $10.00 processing fee. MSI is not responsible for any bank fees incurred by Customer. MSI has the sole right to resubmit returned or declined items (plus applicable fees) without prior notice. BILLING INQUIRIES -- 888-244-8044 or by mail to PO Box 297, Hatboro, PA 19040.

Applicant Agreement
I represent that I am the person who appears on the application above. I acknowledge and agree to the statements, terms and conditions above, as well as any applicable terms and conditions for this registration, and that by typing my name below and completing this registration form, I am electronically signing the document, which will have the same legal effect as the execution of the document by a written signature and shall be valid evidence of my intent and agreement to be bound.

Applicant Signature
Please enter your full name in the space below.

Please click the button below to finalize your registration.

Registration inquiries:
jfrank128@cox.net

	= required field

= required field

Privacy Policy
Oops! You do not have javascript enabled. This registration process depends on javascript to function correctly.

Please enable javascript in your browser and then reload this page.

Registrant

use this registrant for billing information

First Name

Last Name

Address

Address (line 2)

City

State

Zip

Country

Home Phone/ Cell Phone

Date of Birth

BOYS born in 2004, 2005 & 2006

BOYS Born 2001, 2002 & 2003

BOYS Born 1998, 1999 & 2000

Men Born 1995, 1996 & 1997

Girls Born in years 2001 to and including 2006 (can only compete within a 3 year age spread)

Girls Born in years 1995 to and including 2000 (can only compete within a 3 year age spread)

Name and address of Gym well as Name and Contact Info for Coach.

Terms

PLEASE READ CAREFULLY:

By submitting this application for consideration for participation in USFL All Star Shows I acknowledge that I have an understand the rules and regulations of USFL Pankration.

If contacted by an event promoter I will promptly respond, either accepting or rejecting the proposed match up and failure to respond in any manner will result in my removal from this database.

I AGREE TO ABIDE BY THE USFL CODE OF CONDUCT:
Accept accountability for all behavior and its outcomes;
Honor obligations and promises;
Exercise self-control;
Be willing to be fair with others in dealings on and off the Mat, Ring, cage Etc.;
Take pride in themselves and their accomplishments, but never at the expense of demeaning another person or group;
Respect the efforts of others;
Respect authority;
Compete by the spirit, not just the letter, of the rules of the sport/event; and
Strive to make the USFL better through support and contribution as a member and as a citizen.

I understand that participation in Pankration and all combative sports have a certain amount of risk of injury, serious injury or death. I acknowledge that I am medically fit and I have current and valid health insurance. In the event of an emergency I herby authorize any licensed medical personal to perform any accepted medical procedure deemed necessary and I agree to bear the expense of such treatment.

I understand and agree that I may be photographed and/or filmed during USFL competitions. I further agree and understand that my image may be displayed on magazines, web sites, DVD's, Videos and all other sources of media without further notice or action.

I affirm that all the information I provided is Accurate and True to the best of my knowledge.

Check this box to indicate that you have read and agree to all of the above terms & conditions

Username:
Password:
cancel