AGREEMENT TO SANCTION A KICKBOXING EVENT 2011

This agreement is made this day ___ of  Month of ____ in the year  20__ by and between kick International, KICK, Inc, a Missouri not-for profit 501c3 corporation in the United States DBA / KICK international.(hereinafter referred to as "KICK") located at 101 W. Argonne Road Suite 11, St. Louis, MO. 63122, USA and ________ of the city of _________ ______ , State of Country of ________ , (hereinafter referred to as promoter) to wit: Promoter is conducting an amateur Kickboxing event called (name of the event or fight card) _________________________________________,  on the ____day, Month __________________of 20__ at (Name of event site) ___________________________ (address) _________________________________ in the city of ____________, state of ________ (zip) ______; with _____ scheduled matches and scheduled with _______ titles (Titles must be listed), as follows (list all division titles and contenders by name and record): (attach separate sheet if necessary). This event will include only the disciplines of Kickboxing.

2. The parties hereto agree that the above described Fight card will be a Fight card sanctioned by KICK. This document and fees must be received at the KICK offices 30 DAYS prior to any use of the logos of KICK or official announcement of any involvement of KICK, prior to any press releases, in any event all agreements, documentation, insurance riders or waivers and appropriate fees are required to be filed and paid within 20 working days prior to the date of any proposed event date. A $200.00 LATE FEE WILL BE ASSESSED FOR ANY EVENT RECEIVED AFTER THE CUT OFF DATE .

3. KICK agrees, in addition to sanctioning the Fight card, to carry out the following activities:

a) Furnish Promoter with a copy of the applicable official KICK rules which may be found with current updates at www.kickinternational.org.

b) Permit Promoter to represent and advertise the Fight card described above as being conducted under KICK sanction, and must be described as a Kickboxing event as the promoter determines is best and in accordance with applicable state and Country, rules and regulations permitting such sports.

c) Promoter IS REQUIRED TO HAVE a KICK representative present and KICK will designate a representative for the Promoter. All expenses of the KICK representatives ( two (2) are required for 12 or more matches) are to be paid in advance by the Promoter plus any applicable travel or mileage paid at $ .50 cents per mile round trip, plus a recommended Representative minimum Fee of $200.00 per day, hotel, and daily meal allowance if necessary. The representative serves as a non biased observer and must verify all mandatory documentation of the event and coordinate with the State Athletic commission as necessary, Individual states and the Designated Regional Representative may require multiple representatives to oversee an event for which the promoter is required to adhere to and appropriately pay each designated representative..

d) Provide the Promoter with the following information, if requested:

- Names, addresses and phone numbers of fighters, managers, trainers, promoters, referees, announcers and judges.

- Names of insurance agents providing medical and liability coverage of mixed Martial Arts and or Kickboxing.

- Promoters event checklists, master score sheets and judges ballots.

4. Promoter agrees to undertake the following:

a) To comply with all applicable state rules and regulations as well as the official KICK rules and regulations including, but not limited to weight divisions, weigh-ins, scoring, medical examinations and required on site Emergency Medical Assistance & physicians in attendance, judging, refereeing and competition rules. It is the responsibility of the promoter to verify amateur status, any competitor found to be listed as a professional competing as an amateur must be cancelled from the amateur competition. In the event of malicious injury to an athlete the competitor committing the injury and the promoter can and will be held liable for medical expenses of the injured competitor if the competitor is found to have not complied with the referees instruction or if the promoter blatantly encouraged actions which violated the rules as set forth.

b) To purchase the Kick International insurance coverage as applicable in this sanction agreement covering all amateur competitors on the fight card for a minimum of $10,000 accidental emergency medical treatment and $10,000 accidental death and dismemberment, and name KICK as an additional named insured. If you have appropriate applicable insurance to meet the requirements of your state you may use your insurance, however, KICK International must be named as additional insured and a copy of the binder must be on file with our office. The policy provided by the insurer of Kick International events carries a $1,000.00 deductible which is required to be paid by the Promoter or competitor or trainer as per any applicable Promoter/athlete / trainer agreement. All injury claims must be submitted within 48 hours of an event injury

c) To pay all travel and training expenses or awards, travel expenses, expenses for room and meals which have been contracted for as allowable for amateurs and mandated for officials advertised as part of this sanctioned Fight card.

d) To hold KICK harmless and free from any and all liability or claims which may arise in connection with the Event card including but not limited to any and all claims which may arise from the arena or event site, as well as All competitors and/or participants, all officials and all spectators.

e) Purchase as necessary any required insurance of public liability, personal injury and property damage insurance covering facility and spectators of the event if required by the facility that the event will be held in, and to name KICK as an additional named insured.( A General Liability (GL) policy is available which may be purchased directly from Kick.

f) To coordinate, hire, or designate all working personnel at ringside, and hold a pre-event rules meeting with all officials, athletes or their representatives, announcers, scorekeeper, timekeeper, promoter and KICK liaison person and all pertinent ringside personnel. Recommended fee for Referees ($200ea) and three judges ($100ea). All personnel will be designated and approved by the Kick liaison representative.

g) To be familiar with and have a working knowledge of all necessary documents from medical pre-fight examination releases, judges ballot, scorecards and master scorecards, fighter release/waiver forms and to insure that adequate personnel are on hand to facilitate the timely procedure of competition of all documentation as directed by the KICK liaison.

h) To advertise the KICK sanction, use the KICK logo on all printed material used for this sanctioned event, and to represent that the Fight card is sanctioned exclusively by KICK as required by State Regulations in all media releases and announcements. KICK events may not be co-sanctioned.

5. For good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, Promoter agrees that KICK retains the first right of refusal, and authority to record, or to have recorded, any sanctioned event by any audio and/or visual electronic means and further agrees, if such option is exercised, that KICK, or its designee, may broadcast and re-broadcast any and all recorded events in perpetuity throughout the world, without compensation to Promoter. Promoter shall not record by any electronic audio and/or visual means any sanctioned event without the prior written consent of KICK.

6. Promoter shall not enter into any agreement with any other party which shall obligate KICK to any other person, corporation, firm, or partnership without written consent of KICK.

7. This agreement may not be amended except by written amendment signed by both parties.

8. This agreement may not be assigned to any person, corporation, firm, or partnership without written consent of KICK.

9. This is a binding agreement which requires notarized signatures of the Promoter. Time is of the essence. This document must be received by the Board of Directors of KICK, only the Commissioner in office may bind the organization. All fees are registered for 2010 as follows in US. Funds by cashiers check or money order:

An insurance policy with a minimum coverage of $10K for Health and Accidental Death Benefit is required for competitive combative competition. Claim forms for promoters and Representatives will be provided to the ringside physician at the beginning of the event. The promoter is responsible for the payment of the deductible amounts for injured athletes if the athlete's personal insurance does not cover the emergency medical cost for a participant's injury.

INDICATE by X and total amount! Each title must be paid for separately to obtain approval

ADD Insurance Policy options to meet the minimum requirement to cover competitors

____$ 1,340, per event for Kickboxing or Combative Sports sanctioning + secondary insurance  $10,000/ $1,000 deductible, emergency medical/death benefit

___$2,115, per event for Kickboxing or Combative Sports sanctioning + secondary insurance  $25,000/ $1,000 deductible, emergency medical/ death benefit

Each coverage policy is available for $500 deductible for a small increase – call for exact price.

____ $200 Sanction fee may be required if any insurance is used other than the KICK co sponsored insurance –(proof of Insurance must be provided)

____$ 275 TITLE (additional to sanction fee) per title including belt

Each belt as requested requires 14 day advance payment, to order

____$ 200 late fee to be assessed if sent less than 30 days prior to the event (may be waived upon approval of the insurance carrier)

____$ 450 General facility Liability 1 Million dollar per claim / 2 Million aggregate general liability for spectators

____ $ 105 for EACH ADDITIONAL NAMED Insured to be added to the GL policy

ADDITIONAL INSURANCE PLANS ARE AVAILABLE TO MEET YOUR INDIVIDUAL EVENT OR TOURNAMENT REQUIREMENTS WITHIN YOUR STATE ALL PLANS ARE SUBJECT TO CHANGE- CALL 636-274-3374 FOR INFORMATION ON OTHER OPTIONS FOR YOUR EVENT.

Every participant must be a registered member of Kick International to be covered by insurance as mandated by the insurance carrier. Annual membership fee is $30.00 payable by the promoter if the contestant does not pay or is not already a member in good standing with Kick International

________$ TOTAL AMOUNT ENCLOSED MADE PAYABLE TO KICK International for which The Promoter agrees to pay in advance according to this binding agreement to be considered for sanctioning by Kick International.

Any promoter wishing to receive authorization for a title request must contact the KICK offices for title approval of date and competitors, the Promoter will then be placed on the events calendar and, at that time, will have 10 working days to complete all documents for sanctioning. If the event has not been not been approved within the 10 day period the title shall be placed of the active list for any other promoter to apply for. KICK International may not be held responsible for any title request approval which has not been verified in writing by a copy of this agreement authorized by the current Commissioner of KICK. KICK does not issue refunds on events, insurance or belts requested by a promoter. KICK International may deem it necessary and in the best interests of the competition combat sport of kickboxing/MMA and on behalf of the organization to provide partial or full refund on any title request which has not been approved for sanctioning, after expenses for verification have been deducted.

In witness whereof, the parties have the day above first written set their hands and seals.

Governing Law. This Agreement shall be binding upon and inure to the benefit of, the parties hereto and their respective successors and assigns. This Agreement shall be considered as entered into in the State of Missouri and shall be governed by and construed in accordance with the laws of the State of Missouri, USA.

Authority to Contract. The parties whose signatures appear below warrant and represent that they are the authorized representatives of the partnership/corporation/ or proprietorship of whose behalf they are entering into this Agreement, and that such entity or corporation has the power and authority to act in accordance with the terms of this Agreement.

OFFICIAL STATEMENT OF RESPONSIBILITY

I as a promoter of competition combat sports for competitive combative sports events sanctioned under Kick International will not have any professional fighters on my Amateur event card without properly notifying the State Athletic office and Kick International. As a Promoter it is my responsibility to verify all competitors' status as amateur. I am aware that Kick International sanctions amateur athletic events and I can and will be held liable by Kick International, the State authority, and the Insurance carrier for violation of statutes and potential fraud if I have scheduled any professional fighters on the amateur event planned for this  event date.

INSURANCE APPLICATION FOR KICKBOXING

DATE & TIME OF EVENT:____________________________________, Event Site Name_____________________ Promotion Name ________________

ADDRESS OF EVENT: ___________________________________, City_________________________

 State_______________ Zip _________________

NUMBER OF COMPETITORS: _____________, HOW MANY COMPETITORS UNDER 18 YEARS OF AGE _____________

LIST THE AGES OF THOSE UNDER 18

ALL INFORMATION LISTED IS BELIEVED TO BE ACCURATE TO THE BEST OF MY KNOWLEDGE.

INSURANCE PROVIDED BY A DESIGNATED INSURANCE COMPANY UNDER A CORPORATE POLICY WHICH REQUIRES A REPRESENTATIVE TO BE IN ATTENDANCE AND FILE ALL NECESSARY CLAIM FORMS IN CASE OF INJURY. THE POLICY OFFERS A minimum of $10,000 DOLLAR MAJOR MEDICAL EMERGENCY HOSPITAL SERVICE secondary coverage AND A $10,000 ACCIDENTAL DEATH COVERAGE. THE POLICY REQUIRES a $1,000 DOLLAR DEDUCTIBLE per injury payable by the injured party as set forth in an acceptable participant agreement! This is the minimum standard available Insurance applicable for the event. Every injury will be investigated for legitimacy; Insurance fraud is taken very seriously. Any competitor who maliciously injures an opponent can and will be held responsible for the injured opponents medical expenses. Any promoter willfully violating the rules and regulations as set out for the safety of all competitors can, and will be held liable for any injury to a competitor which may be proved as willful ignorance of the established rules.

IN THE EVENT THAT A MEDICAL CLAIM IS MADE AGAINST THIS POLICY IT WILL BE REQUIRED OF THE PROMOTER AND THE REFEREE TO FILE A REPORT TO THE KICK International OFFICES INDICATING THE TYPE OF INJURY, CAUSE OF INJURY ATTESTED TO AS WITNESSES' TO THE INJURY!

I understand that this form must be forwarded to KICK International No later than 20 days prior to the event I am requesting sanctioning for

Promoter's Signature _______________________, Promoter Address _____________________,

City ___________________ State_____ Zip _________Promoter's Tele __________________________,

Promoter's Fax _______________________,   Promoter's E Mail ______________________________

NOTARY SIGNATURE AND SEAL ____________________________________

KICK INTERNATIONAL- Date Received ___________  Approved _____________ Denied __________________

 Reason ___________________________________________________________________________________

SEND COMPLETED PAGES NO LATER THAN 20 DAY PRIOR TO EVENT TO AVOID LATE CHARGES -MAIL COMPLETED PAGES WITH PAYMENT TO:

Kick Inc 101 W. Argonne Road Suite 11, St. Louis, Missouri 63122

TELE# # 314-571-4013 Fax # 1-603-218-7115