TNA GUtCHECK FORM

* UPCOMING TNA GUT CHECK SCHEDULE Saturday, October 27, 2012 - St. Louis, MO Time: 2-4 p.m. CST Chaifetz Arena 1 South Compton Ave St. Louis, MO 63103 DEADLINE: Monday, October 22, 2012 12 p.m. CST LIMITED SLOTS AVAILABLE! Personal Information * Legal First Name * Legal Last Name * E-Mail Address * Gender Male Female * Date Of Birth Month * Day * Year * Height Feet * Inches * Highest Level Of Education Achieved * Occupation (outside of wrestling) * Hobbies/ Interests Wrestling Information * Age you Began training * Who were you trained by? * Years In Pro Wrestling * What role(s) are you interested in? Wrestler Manager Referee Valet * Please list wrestling promotions that youhave worked for * Have you participated in other sports? Yes No If yes, what sports and at what level (high school, college, professional, etc.) Materials for Review As part of this application process you are required to submit 3 photos (Posed & In-Ring) and two video links to your wrestling matches that you wish for us to use in considering your application to applications. * Photo 1 * Photo 2 * Photo 3 * Youtube Link 1 * Youtube Link 2 Contact Information * Primary Phone Number Secondary Phone Number * Street Address Address Line 2 * City State Live Outside the US. Please Type Your City Country * Zip Code Twitter Name Facebook Fan Page Official YouTube Page Other Social Media Page(s) Official Website Payment Information In order to apply for Gut Check, there is a mandatory application fee of $20. The Application Fee (along with any other fees) are non-refundable. If you are accepted into TNA Gut Check, you will be contact via email and be required to submit additional paperwork and pay the remaining balance of $230. * Gut Check Application Fee $20 * Indicates Response Required