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Tournament Registration
Name:
Date:
Birth Date:
Age:
Sex:
Please Select One --------->
Male
Female
Team:
Address:
City:
State:
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AA
AE
AP
AS
FM
GU
MH
MP
PR
PW
VI
Zip Code:
E-mail:
Home Phone:
Cell/ Business:
Parents Name
(if under 18)
:
Emergency contact:
Phone:
Shirt Size:
Please Select One --------->
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Adult 3XL
Division
KIDS
Enter Weight:
Level:
----------
Beginner 1 year or less
Intermediate 1 - 3 years
Advanced 3+ years
(Kids will be matched as close as possible with weight, age and skill level)
TEENS 13 to 17
Weight Class:
----------
Lightweight: 110 lbs. & below
Welterweight: 115 lbs.
Middleweight: 130 lbs.
Cruiserweight: 150 lbs.
Heavyweight: 170 lbs. & over
Level:
----------
Beginner 1 year or less
Intermediate 1 - 3 years
Advanced 3+ years
ADULT WOMEN
Weight Class:
----------
Lightweight: 115 lbs. & below
Welterweight: 130 lbs.
Middleweight: 145 lbs.
Cruiserweight: 160 lbs.
Heavyweight: 161 lbs. & over
Level:
----------
Beginner 1 year or less
Intermediate 1 - 3 years
Advanced 3+ years
ADULT MEN
Weight Class:
----------
Featherweight: 135 lbs.
Flyweight: 145 lbs.
Lightweight: 155 lbs. & below
Junior Welterweight: 165 lbs.
Welterweight: 175 lbs.
Middleweight: 185 lbs.
Cruiserweight: 195 lbs.
Light-Heavyweight: 205 lbs.
Heavyweight: 225 lbs.
Super Heavyweight: 226 lbs.& over
Level:
----------
Beginner 1 year or less
Intermediate 1 - 3 years
Advanced
30+ MASTER'S
Weight Class:
----------
Lightweight: 160 lbs.
Welterweight: 180 lbs.
Light-Heavyweight: 200 lbs.
Heavyweight: 201 lbs. and above
Level:
----------
Beginner 1 year or less
Intermediate 1 - 3 years
Advanced 3+ years
ced 3+ years
OPTIONAL 2ND DIVISION ENTRY
(if time or space allowed)
Options:
----------
Weight class above yours
Kid that wants to do teen
Teen that wants to do adult
Master that wants to do adult
Any limitations instructors should know
(if yes explain)
;
RELEASE OF LIABILITY
Please read carefully & completely before agreeing
Due to the physical nature of MARTIAL ARTS TRAINING, I understand there is a possibility of injury during cutting weight, the tournament and after the tournament, and I agree that my Competing is done at my own risk and release Grappling experience LLC., The Fight Lab Inc, Alliance, The National Guard, all sponsors, instructors, directors, staff, and all fellow competitors and training partners from any and all liabilities, claims and or loss, including loss or property or expense incurred from injury that may incur before, during and after the tournament. I understand and agree that Martial Arts involve skills and training which include violent and sudden movements and that in connection with the competition and staff, there will be physical contact. I will conduct myself in a manner so as not bring embarrassment or discredit to Grappling Experience LLC., Or my instructors(s), owner(s) director(s) or fellow students or competitors. I also agree that any illegal, immoral or unethical behavior will not tolerated by this organization. I compete at the pleasure of Grappling experience LLC. and if you brake any rules you will be asked to leave at any time without refund. The Divisions and weight classes my change at anytime with out notice. Competitors hereby stipulates that he/she or their minor child is physically and mentally sound and has had medical approval to proceed with this type of physical actives. I give my consent to Grappling experience LLC.. To use any photo or video of my minor child, myself or anyone that I bring into the studio or an outside event, that their photo may be used for advertisement purpose.
By checking this box you are agreeing to the following;
I understand and agree to all the contents of this waver listed above, and all the information provided on this application is true & Correct.
(registrations will not be processed without agreement)
©2008 Grappling X and Grappling Experience are Registered Trademarks of Grappling Experience, LLC. All rights reserved
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