Fill out the fighter registration form below. If selected, the promoter will be in contact with you. Rome, GA – Sat. Dec. 9 Name First Last Ring Name Nickname Address Street Address City State / Province / Region ZIP / Postal Code Cell PhoneEmail Facebook Handle Instagram Handle Twitter Handle Age Weight Height Place of Employment Street Fight Record (Example 1-0) How many street fights have you had dating all the way back to kindergarten? List record.Have you had any sanctioned / organized fighting experience? Yes No If yes, list your record in following combat sports below. 3, one minute round, 16 oz glove Fight Record Have you fought in any sanctioned boxing tournaments by an Athletic Commission? List record.Amateur Boxing Record If you have fought in a sanctioned USA Boxing event, list your record.Amateur MMA Record If you have fought in a sanctioned mixed martial arts event, list your record.Have you ever fought pro? Yes No Hobbies What do you like to do for fun?Grudge? Do you have a grudge against someone that you would like to fight? Tell us about it.Comments Rules I have read the rules.* Fights are 3, one minute rounds with a minute rest between rounds. * You only fight once. * 16 oz. gloves (provided by promoter). * No headgear. * No entry fee. Promoter pays for boxing license. * Must be at least 18 yrs. old. * No Professional fighters allowed. *Weight classes for men & women Light Flyweight less than 108 Flyweight 109–114 lbs. with 6 lb. weight differential Bantamweight 115–123 lbs. with 8 lb. weight differential Lightweight 124–132 lbs. with 8 lb. weight differential Light Welterweight 133-141 lbs. with 8 lb. weight differential Welterweight 142-152 lbs. with 10 lb. weight differential Middleweight 153-165 lbs. with 12 lb. weight differential Light Heavyweight 166-179 lbs. with 13 lb. weight differential Heavyweight 180-201 lbs. with 22 lb. weight differential Super Heavyweight 202 lbs. to unlimited Pic/Selfie Upload(Required)Max. file size: 192 MB.Upload a picture of yourself.Video UploadMax. file size: 192 MB.Are you redneck enough to fight in this event? Do you have a grudge you want to settle? Let us hear about it and tell us what hobbies you like to do for fun! Submit your video (approx. 1-2 minutes). Consent(Required) I agree to the consent.I agree by submitting this form, I am giving ACR Promotions Inc. and its affiliates permission to use my photograph and or video imaging as part of their printed material, social media, website and any promotional marketing advertisement. I also agree that I own all rights to the photos & videos that I submit.