Fighter Registration

I Understand that the event I am entering in is extremely dangerous and could cause me bodily harm and possibly DEATH! I am stating at this time that I am in good health and have no heart or other major problems that would cause me harm due to participating in this event. I am 18 years of age or older and agree to take full responsibility for my actions as I am in sound mind and body and will not hold Tan-Peri Inc, Pepper's Grille, its owners, officers, bouncers, staff or other representatives liable for any and all of my actions.

I have read this disclaimer and agree to all of the above.

Boxer Name

Age

Weight Height

Experience (5 Being the Highest and 1 being no experience.)

Email Address

Please note that you will be required to sign a form to participate the day of the event.

Lets Fight