Athletic Commission Promoter's License Application

Welcome to the online payment system for the Kansas Athletic Commission. This form is for Promoter's Licenses.

Upon issuance, the licensee is licensed to promote the following events in Kansas:

Professional Boxing

Professional Kickboxing, Muay Thai and Full Contact Karate

Professional and Amateur Mixed Martial Arts

Pankration

Pursuant to K.A.R. 128-2-13, the Promoter shall obtain a surety bond or irrevocable letter of credit in the amount of $10,000 to guarantee payment of all fees and taxes due the Athletic Commission. The Commission may adjust the required amount to assure sufficient protection to the State.

License Type
 
 
 
 
Name and Address Information
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Contact Information
Required Field example: 555-555-5555
example: 555-555-5555
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Convictions

Have you or any owner of the promotion company ever been convicted of any offense other than minor traffic violations? If yes, please list them in the area below.

 
 
List of Convictions
Disciplinary Actions

Have you or the promotion company ever been suspended or disciplined by the Kansas Athletic Commission or any other Athletic Commission? If yes, please list them in the area below.

 
 
List of Disciplinary Actions
Promoter Disclaimer

I certify (or declare) under penalty of perjury, that I have read the foregoing application for promoter's license, and that all the answers given are my own; That all the answers are true of my own knowledge; Further, I understand and agree that any false statement of a material fact in this application will constitute grounds for revoking this license.

 
Legal Disclaimer

I hereby certify and attest that all of the information provided herein is true and accurate. I acknowledge the right of the Kansas Athletic Commission to verify this information and take appropriate legal action if such information is deemed false or misleading.

 
Payment Information
Payment Information
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