Combat Night Fighter Info:
Upload a file: Must be under 10 mb.
Tuition for Training Request:
Parent or Guardian:
Amateur Competition Record:
By checking this box, we have your permission to use the information you have submitted and your pictures on our website and social media pages. (Not required)
Any Special Memories of Josh:
Travel Expense Request:
The following must be included to be considered as a completed application:
You must also either attach a 3-5 minute video that highlights who you are and what MMA means to you. This video should be uploaded to YouTube, and the link provided in the field below.
I affirm that the facts set forth in it are true and complete. I understand that if I'm accepted as a recipient, any false statements, omissions, or other misrepresentations made by me on this application may result in lack of assistance. I also understand that it is an expectation for recipients of the Josh Samman MMA Foundation to find ways to continue his legacy by giving back to others.
YouTube Video Submission:
Professional Competition Record:
Date of Birth: