Fighter Entry Sign up to fight here! If you have any questions, please call 1-800-296-3897. Personal/Contact Information City you would like to fight in: Huntington, WV Ridgeley, WV (Short Gap) Clarksburg, WV Parkersburg, WV Martinsburg, WV Wheeling, WV Elkins, WV Beckley, WV Are you Male or Female: Select Male Female First Name: Last Name: Email: Ring Name: Select your Fight Name All American Astronaut Bad ______ Bad Girl Bad Momma Badass Barbarian Barney the Dinosaur Big ? Big Bad Leroy Brown Big Bubba Big Dog Big Mama Jama Big Panzy Ass Biker Dude Biker Girl Bill Clinton Blackjack Blues Brother Bruce Lee Butter Bean Chicken Man Coach Country Cowboy Country Western Warrior Cow Baby Cowboy Crybaby Daddy's Girl Dangerous Demon Devil Dog Diesel Dike Dirty Bob Disco Man Dr Death Duke Dynamite Elvis Farm Boy Farm Girl Fearless Ferocious Fighting Fighting Farmer Ghost GI Joe Hair Hard Head Hillary Clinton Hitman Hot Girl Ice Man Indian Warrior Iron Mike Jabbin Jackhammer Jammin Jar Head Jawbreaker Junkyard Dog Karate Kid Killer Lifeguard Little Little Bubba Macho Man Mad Dog Mad Man Mad Max Mailman McDonald Mighty Mountain Mamma Muscles Polka Dancer Popeye Pretty Boy Psycho Raging Red Ranger Redneck Redneck Mama Roundhouse Sheepherder Tarzan Tater Salad Terrorizing The Actor The Bad Brunette The Bad Red Head The Beast The Blitz The Blonde Bomber The Blonde Bombshell The Clown The Convict The Crow The Dancer The Demon The Devil The Drunk The Fat Man The Fightin Cop The Fightin Fireman The Fightin Marine The Fighting Nurse The Gambler The Gladiator The Joker The Porn Star The Ranger The Real Deal The Sailor The Sniper The Soldier The Wizard Thunderbolt Transvestite Tricky Undertaker Vicious Wildman Other * If other please enter your ring name: Mailing Address: City: County: State: West Virginia Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code: Home Phone: REQUIRED Cell Phone: Age: Height: Weight: Birthdate: Name of Employer:(Optional) Occupation: Health Information Are you in good health? Choose One... No Yes If NO, Please give details. Fight Information Have you ever fought before? Choose One... No Yes Verification How did you hear about the contest? Select Former Fighter Newspaper TV Radio Poster Other The promoter reserves the right to accept or reject ANY fighter at ANY time.