ISCF FIGHTERS SUSPENSION NOTICE
ISCF Event Representative: Please Print Off "Several" Of These Forms In Color To Have With You At Event.
Use Carbon Paper For Duplicating. Keep Original - Copy To Suspended Fighter

FIGHTER:_______________________________ DATE: ___/___ 200___

EVENT CITY:__________________________ STATE:______
REASON: ____KO ____TKO ____INJURY ____ DISCIPLINARY
EXPLAIN SUSPENSION:____________________________________________
________________________________________________________________


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BEGINNING
DATE OF SUSPENSION

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ENDING
DATE OF SUSPENSION

The ISCF may Suspend an ISCF Fighter, Fighting on an ISCF Sanctioned Event for medical or disciplinary reasons. If for MEDICAL REASONS, The ISCF may also require medical testing as required to further review the Fighter's injuries before fighting again.
FIGHTER MUST INITIAL EACH BLANK
1: _____ If you lose by TKO there is an automatic 30-DAY SUSPENSION.
Unless the ISCF Representative and Event Doctor see a reason the suspension may be less then 30 days. If so, they will explain above.
2: _____ If you lose by KO there is an automatic 45 DAY SUSPENSION.
3: _____ Your suspension shall be upheld by ALL State Athletic/Boxing Commissions and ALL Sanctioning Bodies.
4: _____ If you fight while suspended you will face an additional suspension and monetary fines no less than $250.00 up to $5,000.00 per incident.
5: _____ REQUIRE MEDICAL TESTS: ___________________________________________________________________

ATTENTION FIGHTER - DANGER SIGNS
Notify the ringside physician of any injury sustained During your fight. You should seek immediate medical attention at the closest hospital Emergency room if you experience any of the following:
NAUSEA OR VOMITING - / - DIZZY, WOOZY OR SLEEPY - / - BLACK SPOTS, FLASHING LIGHTS - / - CONFUSION - / - PAIN IN THE EYE - / - UNABLE TO WALK STRAIGHT - / - SEVERE HEADACHES - / - DOUBLE OR BLURRED VISION OR AREAS OF BLACKNESS

I hereby declare that I am the fighter above and I have read & fully understand the meaning & importance of its contents. I acknowledge that this is a binding agreement between myself & the ISCF. I further declare & represent that I am at least 18 years of age, that I have full legal capacity to be bound by this agreement, & that I am signing this agreement of my own free will and accord.

Executed at _________________AM/PM, on this _________day of _________________, in the year 200___

FIGHTERS PRINTED NAME: _________________________________________________________

FIGHTERS SIGNATURE: __________________________________________ DATE: _____/_____ 200___

ISCF REPRESENTATIVES PRINTED NAME: _______________________________________

ISCF REPRESENTATIVES SIGNATURE: _______________________________ DATE: _____/_____ 200___

EVENT MEDICAL DOCTORS PRINTED NAME: ______________________________

EVENT MEDICAL DOCTORS SIGNATURE: ______________________________ DATE: _____/_____ 200___

ISCF - International Sport Combat Federation
P. O. Box 1205, Newcastle, CA, 95658, 9385 Old State Highway, Newcastle, CA, 95658, USA
(916) 663-2467, Fax: (916) 663-4510 or info@iscfmma.com - www.ISCFMMA.com