Please submit proof of your insurance for your upcoming fight using the form below. Accepted file formats are JPG, PNG, or PDF, and the file size should not exceed 8MB.

Important: As per Virginia law, all fighters—both professional and amateur—must have personal insurance coverage to participate in any combat event. While we provide additional, secondary coverage, it is essential that each fighter maintains primary insurance, which will be the initial coverage in case of injury. All participants are required to sign a waiver affirming their personal insurance coverage as primary and acknowledging that our policy is secondary.

Please ensure proof of insurance is attached to this form in a digital format, such as a scan, photo, or PDF copy. By participating, you confirm your insurance is active and meets the primary coverage requirement.

Thank you for your cooperation.

(* indicates required fields)

Full Name*

Email*

(Image/File size limit 8mb)

Please Attach a copy of your current Proof of Insurance (must be within 180 days of your fight)

Please Attach a second page of Proof of Insurance if necessary

Please Attach a third page of Proof of Insurance if necessary

Please leave this field empty.