MMA, Boxing or Kickboxing Promoter Event Application
This form must be submitted 7 days or more prior to the event
All fields are required, once completed attach ALL of the 7 items below and send to the Iowa Athletic Commission.
1. $225.00 - One half of application fee 5. $5,000.00 bond payable to the State of Iowa
2. Certificate of Insurance 6. Copy of contract with the security firm
3. Copy of contract with each contestant 7. Copy of medical license of the ringside physician
4. Copy of contract with emergency medical service including name of EMT
I certify that the information on this form and attachments (if any) is true and accurate to the best of my knowledge.
Printed promoter name Signature Date