U.S.K.A.-United States Kickboxing Alliance-Mixed Martial Arts

GENERAL ADMISSION

GENERAL ADMISSION

RING SIDE

RING SIDE

Tables are ring side

RING SIDE

20X20 MONSTOR RING - PLATFORM IS 20X20 INSIDE ROPE TO ROPE IS 16X16 USA BOXING APROVED! WE DELIVER SET UP RING AND STEPS.  TRAVEL EXP MAY VARY! please contact us for charge for travel!       price is for ring rental only!

AMATEUR SANCTIONING FEES

Basic Fees

Amateur Event: $150
Event Representative: $150
Officials:
            Referees: $100 (each)
            Judges: $65.00 (each)
            Timekeeper: $65
            Scorekeeper: $65
            Inspectors: $65 (each)           
*Officials’ fees may vary based on all amateur, professional, pro/am status, number of bouts, and distance of travel to the venue, as well as overnight stay.

Amateur State Title
- $250 (includes belt and certificate)

Amateur Regional Title
- $300 (includes belt and certificate)

Amateur National Title
- $350 (includes belt and certificate)

Amateur North American Title
- $450 (includes belt and certificate)

Amateur World Title
- $1000 (includes belt and certificate)

PROFESSIONAL SANCTIONING FEES

Basic Fees

Professional Event: $200
Event Representative: $150
Officials:
            Referees: $150 (each)
            Judges: $100 (each)
            Timekeeper: $75
            Scorekeeper: $75
            Inspectors: $100 (each)         
*Officials’ fees may vary based on all amateur, professional, pro/am status, number of bouts, and distance of travel to the venue, as well as overnight stay.

Professional State Title
- $300 (includes belt and certificate)

Professional Regional Title
- $350 (includes belt and certificate)

Professional National Title
- $400 (includes belt and certificate)

Professional North American Title
- $500 (includes belt and certificate)

Professional World Title
- $1500 (includes belt and certificate)                               AMATEUR SANCTIONING FEE

                                                                                      MUST BE PAID 60 DAYS

                                                                                       BEFORE EVENT!

                                                                                    PRO, SANCTIONING FEE

                                                                                   MUST BE PAID 60 DAYS

                                                                                    BEFORE EVENT!

                                                                                       AMATEUR FIGHTER LICENSE FEE

                                                                                          PRO FIGHTER LICENSE FEE

this is a yearly fee! gives you the right to use the logo in your gym to promote your gym!

uska gym license! and free fighter licensing up to 10 fighters     {need info on gym yrs,owner,style,address, contact info} can send check with info or use paypal !

same as 1 yr plus 20 fighters

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(STATE KIND OF LICENSE WANTED)

LICENSE

DATE ____________________________

LICENSE NO. ____________________

SCHEDULE OF FEES

Announcer . . . . . . . . $20.00 Promoter . . . . . . . $100.00

Judge . . . . . . . . . . . . . 35.00 Referee . . . . . . . . . . . 35.00

Manager . . . . . . . . . . . 60.00 Second. . . . . . . . . . . 20.00

Matchmaker . . . . . . . . 50.00 Timekeeper . . . . . . . 25.00

Physician . . . . . . . . . . 40.00 Trainer . . . . . . . . . . . 20.00

READ INSTRUCTIONS CAREFULLY

Payment must be by check or money order made payable

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to U.S.K.A.

Send to: USKA fights at

16 west spruce st

fleetwood pa. 19522

EACH APPLICANT SHOULD ANSWER THE FOLLOWING

PLEASE PRINT CLEARLY SOCIAL SECURITY NO. _______________________

Name of Applicant _____________________________________________________________________________

(FULL NAME) (PHONE N0.)

Address _____________________________________________________________________________________

(NUMBER AND STREET) (CITY) (STATE) (ZIP CODE)

Place of Birth____________________________________ Date of Birth _____________________________ Age ____________

Occupation ____________________________________________ Employer ___________________________________________

Have you ever been Arrested for Violating the Laws of Pennsylvania or any other State? _______________________________

If Yes, state Where and Give details ______________________________________________________________________________

Have you been licensed before by this Commission? 𐂆 Yes 𐂆 No If yes, when? ____________________________________

Are you licensed by any other Commission? 𐂆 Yes 𐂆 No If yes, which Commission? ________________________________

Have you ever been Penalized by any Athletic Commission? 𐂆 Yes 𐂆 No

If yes, state where and give circumstances: _______________________________________________________________________

______________________________________________________________________________________________________________

Have you any financial interest in the promotion of professional or amateur sports or any pro/amateur boxer in this or any

other state? 𐂆 Yes 𐂆 No

If yes, give details: _____________________________________________________________________________________________

___*You may need to check with your own state athletic commission . A state promotor license may be required as well . ___________________________________________________________________________________________________________

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