Fighter Registration

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=50 BGCOLOR="#000000" TEXT="#F7F7FF"> <div> <A HREF="index.htm" TARGET="_top" TITLE="Valley Fight League Mixed Martial Arts"><FONT COLOR="#FFFFFF"><IMG SRC="b7c3e120.png" border=0 width="62" height="18" ALT="VFL Home" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></FONT></A><A HREF="photos.htm" TARGET="_top" TITLE="Photos"><FONT COLOR="#FFFFFF"><IMG SRC="b7e4b120.png" border=0 width="75" height="18" ALT="VFL Photos" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></FONT></A><A HREF="links.htm" TARGET="_top" TITLE="Links"><FONT COLOR="#FFFFFF"><IMG SRC="b7f3c120.png" border=0 width="60" height="18" ALT="VFL Links" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></FONT></A><A HREF="sponsors.htm" TARGET="_top" TITLE="Sponsors"><FONT COLOR="#FFFFFF"><IMG SRC="b805a120.png" border=0 width="90" height="18" ALT="VFL Sponsors" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></FONT></A><A HREF="news.htm" TARGET="_top" TITLE="News"><FONT COLOR="#FFFFFF"><IMG SRC="b813f120.png" border=0 width="63" height="18" ALT="VFL News" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></FONT></A><A HREF="past_events.htm" TARGET="_top" TITLE="Past Events"><FONT COLOR="#FFFFFF"><IMG SRC="b826c120.png" border=0 width="108" height="18" ALT="Past VFL Events" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></FONT></A><A HREF="sanctioning.htm" TARGET="_top" TITLE="Sanctioning"><FONT COLOR="#FFFFFF"><IMG SRC="b8372110.png" border=0 width="114" height="17" ALT="VFL Sanctioning" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></FONT></A></div> <div> <A HREF="fighters.htm" TARGET="_top" TITLE="VFL Fighters"><FONT COLOR="#FFFFFF"><IMG SRC="b8558120.png" border=0 width="88" height="18" ALT="VFL Fighters" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></FONT></A><A HREF="teams.htm" TARGET="_top" TITLE="Teams"><FONT COLOR="#FFFFFF"><IMG SRC="b8642120.png" border=0 width="66" height="18" ALT="VFL Affiliate Fight Teams" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></FONT></A><A HREF="champions.htm" TARGET="_top" TITLE="VFL Champions"><FONT COLOR="#FFFFFF"><IMG SRC="b8767120.png" border=0 width="103" height="18" ALT="Current VFL Champions" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></FONT></A><A HREF="ring_girls.htm" TARGET="_top" TITLE="Ring Girls"><FONT COLOR="#FFFFFF"><IMG SRC="b8858120.png" border=0 width="88" height="18" ALT="VFL Girls" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></FONT></A><A HREF="fighter_registration.htm" TARGET="_top" TITLE="Fighter Registration"><FONT COLOR="#FFFFFF"><IMG SRC="b89b3120.png" border=0 width="179" height="18" ALT="VFL Fighter Registration" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></FONT></A><A HREF="facility.htm" TARGET="_top" TITLE="Facility"><FONT COLOR="#FFFFFF"><IMG SRC="b8a53120.png" border=0 width="83" height="18" ALT="Squared Circle Training Facility" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></FONT></A></div> <div> </div> </td> </tr><tr> <td valign="top" width=188 style=" border-top: 1px solid #FFFF00; border-left: 1px solid #FFFF00;border-right: 1px solid #FFFF00; border-bottom: 1px solid #FFFF00;" BGCOLOR="#FFFFFF" TEXT="#080000" bgproperties="fixed" background="72f69693.jpg"> <div> <IMG SRC="e828d9e0.jpg" border=0 width="141" height="158" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <div> <I><B>Lionell Royer</B></I></div> <div> <I><B>209 Middleway Pike</B></I></div> <div> <I><B>Inwood, West Virginia 25428</B></I></div> <div> <I><B>304-283-3053    </B></I><A HREF="mailto:squaredcircle1@msn.com" TARGET="_top" TITLE="mailto:squaredcircle1@msn.com"><FONT COLOR="#FFFF00"><I><B>Email Us</B></I></FONT></A></div> <bR> <div> <A HREF="facility.htm" TARGET="_top" TITLE="Facility"><FONT COLOR="#FFFF00"><I><B>Boxing & MMA Full Service Gym and Training Facility.</B></I></FONT></A></div> <div> <A HREF="facility.htm" TARGET="_top" TITLE="Facility"><FONT COLOR="#FFFF00"><I><B>Click Here for More Info</B></I></FONT></A></div> <bR> <div> <A HREF="http://www.mapquest.com/maps/map.adp?searchtype=address&country=US&addtohistory=&searchtab=home&formtype=address&popflag=0&latitude=&longitude=&name=&phone=&level=&cat=&address=209+Middleway+Pike&city=inwood&state=wv&zipcode=25428" TARGET="_blank" TITLE="http://www.mapquest.com/maps/map.adp?sea"><FONT COLOR="#FFFF00"><I><B>Click Here for Map</B></I></FONT></A></div> <bR> <div> <IMG SRC="4c399950.png" border=0 width="153" height="149" ALT="Valley Fight League" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <bR> </td> <td valign="top" height=430 width="100%" BGCOLOR="#000000" TEXT="#F7F7FF"> <bR> <div> <TABLE BORDER="0" CELLPADDING="2" CELLSPACING="1" WIDTH="566" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 738 WIDTH="329"><div> <I><B><U>Register A Fighter Below</U></B></I></div> <bR> <div>    <form enctype="multipart/form-data" method="post" action="http://www.freedback.com/mail.php" accept-charset="UTF-6"> <div> <input type="hidden" name="acctid" id="acctid" value="yg5o69iwwzfs8xoa" /> <input type="hidden" name="formid" id="formid" value="603671" /> <input type="hidden" name="required_vars" id="required_vars" value="name,field-50cf5769e7da1ac,email,field-0e30b9f43a63c34,field-29d7f3f648a5863,field-2590e6a11678aae,field-328ed8590bee347,field-47977ebbfd789c6" /> </div> <table cellspacing="2" cellpadding="2" border="0"> <tr> <td valign="top"> <strong>Name</strong> </td> <td valign="top"> <input type="text" name="name" id="name" size="25" value="" /> </td> </tr> <tr> <td valign="top"> <strong>DoJo/Team</strong> </td> <td valign="top"> <input type="text" name="field-641818dc89fe98f" id="field-641818dc89fe98f" size="25" value="" /> </td> </tr> <tr> <td valign="top"> <strong>Address</strong> </td> <td valign="top"> <input type="text" name="field-50cf5769e7da1ac" id="field-50cf5769e7da1ac" size="25" value="" /> </td> </tr> <tr> <td valign="top"> <strong>Email</strong> </td> <td valign="top"> <input type="text" name="email" id="email" size="25" value="" /> </td> </tr> <tr> <td valign="top"> <strong>Phone</strong> </td> <td valign="top"> <input type="text" name="field-0e30b9f43a63c34" id="field-0e30b9f43a63c34" size="25" value="" /> </td> </tr> <tr> <td valign="top"> <strong>Height</strong> </td> <td valign="top"> <input type="text" name="field-29d7f3f648a5863" id="field-29d7f3f648a5863" size="25" value="" /> </td> </tr> <tr> <td valign="top"> <strong>Fight Weight</strong> </td> <td valign="top"> <input type="text" name="field-2590e6a11678aae" id="field-2590e6a11678aae" size="25" value="" /> </td> </tr> <tr> <td valign="top"> <strong>Fight Record W/L/D</strong> </td> <td valign="top"> <input type="text" name="field-328ed8590bee347" id="field-328ed8590bee347" size="25" value="" /> </td> </tr> <tr> <td valign="top"> <strong>Register For (please check one)</strong> </td> <td valign="top"> <select name="field-47977ebbfd789c6" id="field-47977ebbfd789c6"> <option value="Amateur MMA">Amateur MMA</option> <option value="Pro MMA">Pro MMA</option> <option value="Amateur Boxing">Amateur Boxing</option> <option value="Pro Boxing">Pro Boxing</option> <option value="Amateur Kickboxing">Amateur Kickboxing</option> <option value="Pro Kickboxing">Pro Kickboxing</option> <option value="Big-N-Bad Contest">Big-N-Bad Contest</option> </select> </td> </tr> <tr> <td colspan="2" align="center"> <input type="submit" value=" Submit Form " /> </td> </tr> </table> </form>   </div> <bR> <bR> </tD> <tD VALIGN=TOP WIDTH="226"><bR> <div> <IMG SRC="82adf450.jpg" border=0 width="223" height="581" ALT="VFL Championship Belt" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <div> To be informed about any upcoming VFL events and to be the first to get tickets, enter your email address below.<FONT SIZE="2" COLOR="#FFFF00" FACE="Arial" > <form action="http://csbmail.globalscape.com/cgi-bin/csbmail/csbmail.pl" method="POST" enctype="application/x-www-form-urlencoded"><input type="hidden" name="tlx_SortOrder" value="email"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="Thank you for your request for information."><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="Add me to the VFL Event Mailing List"><input type="hidden" name="tlx_EmailTo" value="squaredcircle1@msn.com"> <table cellpadding="5" cellspacing="1" border="0" align="center"> <tr> <td align="left">: <br> <input type="text" name="email" size="20" maxlength="100"> </td> </tr> <tr> <td align="right"> <input type="reset"> <input type="submit" value="Send" name="tlx_send"> </td> </tr> </table> </form>  </FONT></div> </tD> </tR> </TABLE></div> <bR> </td> </tr></table> <script type='text/javascript' src='https://count.carrierzone.com/app/count_server/count.js'></script> <script type='text/javascript'> </script>  </body>