Talent Submission/Suggestion Form:
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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:





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