Fight for the URC

If you want to fight for the Urban Rumble Championship, then please fill out the form.
The Fields that are in Bold Print are required. Remember, if you do not have a Texas Combative Fight License, the you will not be booked. After your have your license, then please come back and register.
We look forward to seeing you in the Cage.

Registrant Information

Name:


First	Last

Address:

City, State Zip:

Phone:

Email:

Ring Name:

Texas Fight License Number:

National Fighter License Number:

Weight Class:

Height:

Date of Birth:

AMA MMA Record:

Boxing Record:

Kickboxing Record:

Muay Thai Record:

Pro MMA Record:

Team/Gym:

Fighting Style:

Martial Arts/Belt Levels:

Shirt Size:

MMA Glove Size:

Fought for the following Organization:

Manager:

Manager Phone:

Short Bio:

Comments: