Talent Submission/Suggestion Form:

Submitter's Name:

Submitter's Email:

Submitter's Phone (optional):

Submitter's Address (optional):

Talent Information Below:

Instructor's Full Name:

Instructor's Email:

Instructor's Phone:

Instructor's Website (optional):

Instructor's Locaion
(City, State/Province, Country):

Instructor's Relationship to Submitter:

Instructor's Background:

In the box below, please provide a brief description of the instructor/talent's background, experience, fighting style and/or history: