{name}

{dob}

{address}

{phone}

Assumption of responsibilities and risk of competition 

As a competitor, the undersigned, acknowledge that the martial art of Muay Thai is a contact sport. As a result, I am fully aware that even with safeguards, it is a dangerous activity. I am aware that (LFP, PFMA), Legendary Fight Promotion,(LFP), Pure Fitness Martial Arts,(PFMA) & Affiliates will undertake all reasonable and appropriate actions to ensure that the competition complies within the Washington state Laws as outlined in RCW 67.08, however, injury is still possible and likely. I am aware that the use of appropriate gloves, hand wraps, groin protectors, shin guards, mouth guards, and headgear is required in certain divisions by the LFP,  AND PFMA rules and RCW 67.08. I am also aware that the LFP, PFMA, & Affiliates will utilize competent ring referees whose primary goal will be to protect the individual competitors. I am also aware that there will be a medical team to oversee the event.

However, despite efforts and precautions, I am aware that I, as a competitor may encounter injuries including contusions (i.e., bumps, bruises), scrapes, cuts, scratches, and tissue soreness. I am also aware that more serious injuries are possible including sprains, strains, twists, cramps, joint injuries, and injuries of a similar magnitude. I am also aware that the possibility of very serious inquires exists including fractured bones, torn ligaments and other soft tissue, lacerations, joint dislocation injuries, head, face, and mouth injuries. Finally, I am aware that, although very rare, extremely serious injuries are possible including concussions and brain damage, crippling, or even death.

I, the undersigned, do understand the risks associated with Muay Thai contact competition as described in the statements above, and I ASSUME ALL RISKS ARISING OUT OF AND RELATED TO MY VOLUNTARY PARTICIPATION IN THE COMPETITION. I assume the risk of competition for myself (or, as it applies, of my minor child). I do understand my rights and responsibilities (or those of my minor child’s) as a competitor, and I assume the responsibility for my own safety (or the safety of my minor child) I am also aware that I will be responsible for any and all medical treatment that is or becomes necessary after leaving the ring. 

AGREEMENT TO ABIDE BY THE RULES

I have had an opportunity to review the rules and agree to abide by all rules regarding competition rules, use of safety gear, conduct etc.

AUTHORITY TO TREAT

I, the undersigned, give the instructors, staff and responsible adults the power to authorize medical or other treatment of the person named above under “Competitor” in the event of a medical emergency. If I am not the person so named, I am the parent, guardian or adult responsible for the person named, and I have legal right to grant this power. Treatment may be made without regard to whether I or any other parent, guardian or adult responsible has been contacted or has consented to the specific treatment. If there is any specific reason you would not want first aid administered or any limitations to treatment, it is your responsibility to provide that in writing to LFP, PFMA, & Affiliates. This authority begins on the date signed and continues indefinitely.

By giving my authorization, I assume responsibilities for all decisions made, provided they are responsible decisions under the circumstances based upon the knowledge and understanding of the person making the decisions, and I trust their judgment and offer the benefit of the doubt to them in any claim or legal proceeding. This presumption may only be overcome by clear and convincing evidence that they acted with malice or willful gross negligence, and, if so, they may still be liable.

I understand that the staff, instructors, senior students, or others may have skills in first aid and CPR, and, at their discretion, I authorize them to use those skills and techniques to assist in any circumstances in which they judge their skills would be necessary or helpful.

GUARANTEE OF PHYSICAL PREPAREDNESS TO COMPETE

I, the undersigned, represent and warrant that I am physically prepared to compete. I acknowledge that I am in good health and that I am currently fit to fight at my fullest capacity. If I am not able or become unable or concerned that I may be unable to fully and safely participate in the Competition, I will immediately notify LFP, PFMA, & Affiliates, the LFP, PFMA, & Affiliates physician and the referee and inform them of any and all limitations that I may have that could affect my participation in the Competition. I agree and acknowledge that this representation and warranty shall be relied upon shareholders, employees, volunteers, and specifically LFP, PFMA, & Affiliates match physician and the referees.

GUARANTEE OF PHYSICAL ABILITY TO COMPETE

By signing below I certify that I am not now, nor have I been treated for any medical conditions such as seizures, severe head trauma, visual impairment conditions, cardiac conditions, bleeding disorders, or any other potentially life-threatening ailment(s). I certify that I have not sustained any head injuries within the last six months including being knocked out and/or minor concussions.

GUARANTEE OF FREEDOM FROM ILLEGAL SUBSTANCES

By signing below I certify that I am not currently taking – or in the course of preparation for this event have I taken – any form of steroids, weight-reducing medications, stimulants, or any legal or illegal performance enhancing drugs.

GUARANTEE OF FREEDOM FROM ILLNESS

By signing below I certify that I have no blood borne illness such as HIV, Hepatitis or any other potentially contagious and health threatening illness not listed.

GUARANTEE OF FREEDOM FROM INHIBITING SUBSTANCES

I certify that I am not currently taking prescribed medication that would interfere with my ability to compete, nor am I under the influence of alcohol, narcotics or any substance that would impair my abilities.

CONSENT TO RELEASE MEDIA

I understand that this event is being filmed and photographed for promotional purposes, dvd resale, photography resale and broadcast. All images are the sole property of LFP, PFMA, & Affiliates and the photographers, videographers and or broadcasters. 

AGREEMENT TO RELEASE AND HOLD HARMLESS

The LFP, PFMA, & Affiliates and all of their agents, officers, directors employees, and event workers (collectively referred to as “All Event Personnel”) shall not be liable for any claims, demands, injuries, damages, actions or causes for actions whatsoever to myself and/or to my property arising out of or connected with my participation in the Competition.  

I hereby expressly release and discharge All Event Personnel from any and all demands, injuries, damages, actions, or causes of actions, and expressly waive any and all claims demands, injuries, damages, actions, or causes of actions that I may be able to bring against the All Event Personnel arising out of and/or related to my participation in the Competition Except those arising out of intentional actions by the same.

I agree to indemnify and hold the All Event Personnel harmless from any and all claims, demands, injuries, damages, actions, or causes of actions related to or regarding my participation in the Competition regardless of whoever may bring such action or claim. Such indemnity and hold harmless shall include any all attorney’s fees and costs incurred in the defense of such action.

Non-Disparagement & Confidentiality Clause:
I, as a representative of my organization, including but not limited to my business, gym, team, and associated affiliates, agree not to make, publish, or cause to be published any false, misleading, negative, or defamatory statements about Legendary Fight Promotion (LFP), its affiliates, staff, fighters, coaches, teams, sponsors, or associated entities. This includes, but is not limited to, verbal, written, or online statements that may damage the reputation, integrity, or business interests of LFP.

Additionally, I agree not to use, distribute, reproduce, or claim ownership of any proprietary documents, images, videos, promotional materials, or any other materials that belong to or are associated with LFP without prior written consent. This includes, but is not limited to, event footage, logos, branding materials, and confidential business information. Any unauthorized use, disclosure, or misrepresentation of LFP’s materials is strictly prohibited.

A violation of this clause may result in legal action and/or termination of any existing agreements.

Assumption of risk/waiver of liability

This mutual binding arbitration agreement constitutes an integral part of a contract for potential medical services by and LFP, PFMA, & Affiliates staff, and  hereafter referred to as Match Medical Staff, LFP, PFMA, & Affiliates

Who all agree to be bound as described here under:

1. It is understood that any dispute as to medical care or malpractice, that is, as to whether any medical services rendered under this contract were unnecessary or unauthorized or were improperly, negligently or incompetently rendered, will be determined by submission to arbitration (RCW 7.04A) as provided in Washington law, RCW 7.04A, and not by lawsuit or resort to court process except as Washington law provides for judicial review of arbitration proceedings. Both parties to this contract, by entering into it, are giving up their constitutional right to have any such dispute decided in a court of law before a jury, and instead are accepting the use of arbitration.
2. Such arbitration shall be in accordance with the arbitration rules of the Washington state. This Mutual Binding Arbitration Agreement shall apply to any legal claim or civil action in connection with any and all medical care or medical services rendered, whether inpatient or outpatient, against the Match Physician or LFP, PFMA, & Affiliates employees/volunteer, agents or contracted staff.
3. The execution of this Mutual Binding Arbitration Agreement shall not be a precondition of the furnishing of emergency medical services by the Match Physician. A participant may provide his or her own licensed medical doctor for event related care. This Mutual Binding Arbitration Agreement may be rescinded by written notice from the patient or patient’s legal representative within 30 days of signature, but not after the event has be bun.
4. The Mutual Binding Arbitration Agreement shall bind the parties hereto, including newborns, and the heirs, representatives, executors, administrators, successors, and assigns of such parties and newborns.

NOTICE: BY SIGNING THIS CONTRACT YOU ARE AGREEING TO HAVE ANY ISSUE OF MEDICAL MALPRACTICE DECIDED BY NEUTRAL ARBITRATION AND YOU ARE GIVING UP YOUR RIGHT TO A JURY OR COURT TRIAL. SEE ARTICLE 1 OF THIS CONTRACT.

By signing this agreement, the participant agrees to comply with all the terms covered in these rules and on the Legendary Fight Promotions liability waiver. The participant understands that this is a legally binding agreement. Persons signing this agreement  shall at this time enter into an agreement with Legendary Fight Promotions to abide by rules and regulations specified.

Upload "Fighter Photos" below:

Photo 1 (guard up, hands away from face) Shirt Off top of shorts visible:

Photo 2 (arms crossed) Shirt Off top of shorts visible: 

LEGENDARY FIGHT PROMOTIONS

COMBAT SPORTS MEDICAL FORM & BLOOD WORK REQUIREMENTS 

_______________________________________________________________________________

Deadline:

The self-reported medical form below is required for all Fighters and must be received by Legendary Fight Promotions at least two weeks before the event date. 

Blood work is required for any Fighter participating in a full contact event. Blood work results can be accepted as a scanned image or picture attached to the email address above (fax is not available). Please send information to legendaryfightpromotion@gmail.com. Blood Work is not required for participation in Spar Warz technical sparring events unless you are participating in a "Smoker" bout without head gear.

Directions:

Fighter Medical:

• The fighter must complete the self-reported "Competitor Medical History" form below (pages 2-3) and submit it to Legendary Fight Promotion at least two weeks before the event date.
• The form must be filled out completely to be accepted by LFP.

Blood Work:

All fighters must complete the following blood work to compete in any LFP competition, oral swabs are not accepted. The fighter must be negative for the following to compete: 

-HIV

-Hepatitis B & C

-STDs

-Pregnancy

Contact your physician right away to schedule your blood work panel.

Fighters should keep original copies of all medical records

The completed self-reported medical form and blood work results must be received by Legendary Fight Promotions (legendaryfightpromotion@gmail.com) at least two weeks before the event date.

COMPETITOR MEDICAL HISTORY

The following questions below this line must be completed by the competitor.

Event:

Event Date:

{name}

{dob}

Sex (check): cis male / cis female / other

{address}

{phone}

Email:

Do you have health insurance? If yes, what carrier?

Medical History

Have you ever had, or do you currently have, any of the following conditions? Please check all that apply.

Blood Disorder or Anemia

Seizures or Convulsions

Meningitis

Asthma or Shortness of Breath

High Blood Pressure 

Heart Disease or Heart Murmur

Chest pain, discomfort, or pressire

Tuberculosis

Marfan Syndrome (degenerative tissue disorder)

Rheumatism or Arthritis

Staph Infection/MRSA

Kidney, Lung, Testicle, or Eye removed

Kidney disease 

Concussion or Unconsciousness 

Monoculeosis

Allergies 

Blurred Vision or other Eye/Vision Problems 

Wear/Have Worn Glasses or Contact Lenses

Diabetes

Physical Impairment 

Skin Disease or Rash

Chronic Cough

Headaches

Swollen joints, joint injury, or dislocation

Sprain, muscle/ligament, tear or tendonitis 

Severe muscle cramps

Neck/spine disorder or instability

Spitting or coughing blood

surgery or hospitalization

Dizziness or fainting spells

Rupture or hernia

Fracture or stress fracture

Numbness, weakness, or tingling in arms or legs 

Name of primary care physician: 

If you checked any of the boxes on the previous page, please explain fully:

Do you have any other health conditions in your past or present not covered above? If yes, please describe:

List any medications, drugs, and/or supplements you are currently taking:

Date of last fight:

Date last knockout was received:

Date last TKO was received:

Longest duration of unconsciousness:

Since your most recent knockout, TKO, and/or episode of unconsciousness - How long did you wait before returning to contact sports (either sparring or competition): 

___________

{sign_date}

LEGENDARY FIGHT PROMOTIONS 

FIGHTER INFORMATION PACKET

_______________________________________________________________________________

Mission Statement:

At Legendary Fight Promotions, our mission is to uphold fairness and integrity by setting and meeting clear expectations for all involved. We are committed to empowering fighters, coaches, and participants with the education and support they need to achieve success. Our goal is to ensure a positive and rewarding experience for everyone, making each individual feel valued and special. We believe in creating opportunities for all to engage in combat sports and to excel in their own unique ways. 

_______________________________________________________________________________

Thank you for your interest in participating in a Legendary Fight Promotions (LFP) Event.

Please carefully review the following information prior to the event date.

**You will be prompted to initial at certain points in the document to acknowledge that you have read and agree to the rules and regulations set**

1) Event Passes and Corner Allowances

• Passes

1 Fighter participating = 2 coach/corner passes. A maximum total of three (3) event passes will be provided to the Fighter, coaches/corners ONLY. Family, friends, additional coaches, gym mates, etc. will need to purchase tickets to attend the event.

2 or more Fighters participating = 3 coaches/corner passes. One event pass will be provided to the Fighter, coaches/corners ONLY. Family, friends, additional coaches, gym mates, etc. will need to purchase tickets to attend the event.

Tickets purchased pre-sale will cost less than tickets available at the door on the day of the event!

• Corners

Regardless of the number of fighters participating, only two (2) corners are allowed in the corner during the bout. ONLY during a title bout are three (3) corners allowed in the corner area.

Please initial to acknowledge you have read and agree to the rules and terms listed in the section (1) above

2) Weigh-In, Med-Check, and Rules Meeting

A day-of schedule with specific times will be provided approximately one (1) week before the event. If the weigh-ins are scheduled the same day as the event they will occur approximately two to four (2-4) hours before bouts begin with the Rules Meeting directly following. Med-checks may be conducted after weigh-ins or directly before fights begin.

Please initial to acknowledge you have read and agree to the rules and terms listed in the section (2) above

3) Items Provided by LFP

• 1 1/2" or 1/2' tape (supply may be limited - Sanctioned Events Only)
• Gauze (supply may be limited - Sanctioned Events Only)
• Water and ice (supply may be limited)
• Please note - ice bags and towels are not provided 

Please initial to acknowledge you have read and agree to the rules and terms listed in the section (3) above

4) Rules of Conduct

• Participants are expected to be professional at all times. Participants include Fighters, coaches, and teams.
• Respond with respect when rules are enforced.
• No pouting, yelling/screaming, public displays of disagreement, no cursing at anyone at any time including your own Fighters and teammates.
• No alcohol, drugs, smoking, or vaping of any kind is permitted by anyone who will appear at ringside before or during the event.
• Win graciously, lose graciously. Do not belittle teams, Fighters, Officials, or patrons in any way. 
• The Referee has the right to deduct points from the Fighter as a direct result of his/her or their team's behavior.
• Corners and seconds must stay off the stairs and remain seated until the round is over.
• No hitting/banging on the ring canvas.

Please initial to acknowledge you have read and agree to the rules and terms listed in the sections (4) above

5) Corner Responsibilities

Before and after each round the corners must:

• Clear the ring's edge.
• Wipe up any wet spots, blood, or oils from the corner.
• Remove all the objects from the ring's edge including the stool.
• If the corners do not adhere to the 1-minute time limit, the Referee reserves the right to deduct points at his/her/their discretion for delaying the fight.

The corners are allowed to bring the following supplies ringside:

• Water
• Ice/No-Swell
• Towels
• Petroleum jelly
• Adrenaline of 1/1000 solution or other substances as approved by the ring doctor
• Gauze
• Cotton balls
• A pair of safety scissors 
• Wound bandages
• Athletic tape

Absolutely no coaching is allowed during time-outs, penalties, or when a Fighter is in a neutral corner.

Please initial to acknowledge you have read and agree to the rules and terms listed in the section (5) above

6) The Fighter's Uniform, Gear and Taping

Fighters must wear Muay Thai Shorts.

• • Muay Thai shorts, Muay Thai mini shorts, and Gladiator skirts are permitted.

• The Fighter must wear undergarments under their shorts.
• Fighters must wear to the ring: mouth guard, cup (male fighters), and any other agreed-upon required gear. Only gloves and elbow pads are provided by the promotion.
• Fighters may wear ankle supports or Muay Thai socks.
• NO substances of any kind may be applied to gloves at any time or in any way.
• When wrapping hands there must be a 1" gap between where the tape on the back of the hand stops and the knuckles.
• Cloth wraps are only allowed for SparWarz events.
• Gear must be taped accordingly:

• • Gloves should be taped at the wrist 
  • Elbow pads should be taped above the elbow
  • Shin pads should be taped above the ankle and below the knee, no tape on or around the foot.
• All tape must be wrapped over twice.

Please initial to acknowledge you have read and agree to the rules and terms listed in the section (6) above

7) How to Win

Rounds are scored on a 10-Point Must System.

      Scoring -

Judges will determine scoring based on the following:

-Knockdowns
-Damage of strikes
-Number of clean and purposeful strikes unanswered immediately
-Smart aggression and ring generalship
-Successful defensive tactics followed by purposeful strikes
-Controlling in the clinch
-Stamina
Fighter Will be Rewarded For -
- Strikes to open targets
- Placement of strikes
- Strength & delivery of techniques
- Controlling the clinch
- Technical and clean defense with ability to immediately deliver
strikes following defensive moves
- Purposeful footwork (not just marching)
- Use of feints to defuse opponents’ strategy and open them up for strikes
- Use of angles to avoid strikes and position to deliver
- Maintaining balance while off-balancing their opponent
-Technical pressure (not just brawling)

       Legal Strikes -

• • Punches - spinning back fists allowed
  • Kicks to the head, body, legs
  • Elbows - spinning elbows allowed 
  • Knees to body and legs
  • Muay Thai style catches, sweeps, and dumps
  • Striking while catching is limited to one step forward or backward between each strike (Example: Fighter may catch the kick, strike and step, strike and step, repeatedly so long as there is a strike between each step)
  • 12-6 elbows are allowed to the legs only

        Illegal Techniques -

• • 12-6 elbows to the head, neck, or spine
  • Knees to the head are illegal in Washington state
  • Striking to the back of the head, spine, or groin
  • Intentionally striking the knee joint
  • Joint manipulations as in Jujitsu or submission wrestling
  • Non-Muay Thai style throws - hip throws, hip carries, suplexes, etc.
  • No ploughing (forward or backward)
  • No ankle reaps, foot stomps, palm strikes
  • Groin strikes

The following infractions may result in point deductions at the discretion of the Referee - 

• • An illegal technique(s) described above.
  • Intentionally repeated falling on opponent.
  • Obstructing or assisting a fighter who has fallen from the ring.
  • Repeatedly spitting out mouth guard.
  • Repeated gear malfunctions and/or intentionally delaying the bout.
  • Any violations of the Rules of Conduct (section 4)

Please initial to acknowledge you have read and agree to the rules and terms listed in the sections (7) above

8) Combat Styles

• Modified Muay Thai

All Muay Thai rules above apply except there will be no elbows in modified Muay Thai bouts.

• Kickboxing

If you are participating in a kickboxing bout, please note the following differences:

• • No knees
  • No elbows
  • No catches/grabs - kicks may be parried only
  • No holding the leg
  • No sweeps or dumps
  • No clinch

Please initial to acknowledge you have read and agree to the rules and terms listed in the sections (8) above

9) Smokers (Exhibition Bouts) 

Full contact rules apply for Smoker bouts, but bouts will not be sanctioned, and no winner will be announced, Depending on the availability of Officials, scorecards may be available for fighters to review how they would have been scored in a sanctioned bout.

10) Technical Sparring (Spar Warz™)

If you are participating in a non-sanctioned/non-scored Technical Sparring bout, please be advised of these differences:

In the Ring -

• • • No excessive contact - only one warning by the Referee will be given
    • No knockouts
    • Bouts can be stopped for:

• • • • Excessive force
      • Not listening to Officials 
      • Turning your back/not defending yourself
      • Lack of cardio/fatigue
      • Lack of technique or general unpreparedness
      • Lack of action - timidity/passivity

Gear and General Information -

• • • Full gear - including leather/leather-type shin pads
    • Cloth hand wraps allowed - must be checked and approved
    • Fighters will be matched by weight and must weigh-in, however weight differential between Fighters may be up to 15 lbs
    • Rounds may be reduced from 2-minute rounds with 1 minute rest to 1-minute rounds with 30 seconds rest at the discretion of the Officials 

11) Bout Outcome Dispute Process

If you participate in a sanctioned/scored bout and do not agree with the bout outcome, the following is the process to expect from initiating a bout review request:

• The disputing party must initial a review in writing by emailing Legendary Fight Promotions (community@legendaryfightpromotion.org).
• The review process may take up to three(3) weeks and NO information regarding the review will be released prior to completion of the full process.
• The disputing Fighter's opponent will be notified that a bout review was initiated.
• When the review is completed, you and your opponent will receive a summary report of the rescored bout as well as copies of the original and rescored bout scorecards.
• The results of a review request are final.

Non-Disparagement & Confidentiality Clause:
{name}, as a representative of my organization, including but not limited to my business, gym, team, and associated affiliates, agree not to make, publish, or cause to be published any false, misleading, negative, or defamatory statements about Legendary Fight Promotion (LFP), its affiliates, staff, fighters, coaches, teams, sponsors, or associated entities. This includes, but is not limited to, verbal, written, or online statements that may damage the reputation, integrity, or business interests of LFP.

Additionally, {name} agree not to use, distribute, reproduce, or claim ownership of any proprietary documents, images, videos, promotional materials, or any other materials that belong to or are associated with LFP without prior written consent. This includes, but is not limited to, event footage, logos, branding materials, and confidential business information. Any unauthorized use, disclosure, or misrepresentation of LFP’s materials is strictly prohibited.

A violation of this clause may result in legal action and/or termination of any existing agreements.

Please initial to acknowledge you have read and agree to the rules and terms listed in the sections (9-11) above

I, {name} acknowledge that I have read the document and agree to follow these rules, regulations, and customs to the best of my ability.

Please type out your name in the textbox below and sign:

{required text}