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REGISTRANT INFORMATION
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Closes at:
25 April 2019 11:59 PM PST
Competitor Information:
First Name:
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Date of Birth:
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Gender:
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Weight (lbs):
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Contact Information:
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State:
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province, district, or area)
ZIP:
Country:
UNITED STATES
- No Selection -
AFGHANISTAN
ALAND ISLANDS
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
CONGO, THE DEMOCRATIC REPUBLIC OF THE
COOK ISLANDS
COSTA RICA
COTE D'IVOIRE
CROATIA
CUBA
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD ISLAND AND MCDONALD ISLANDS
HOLY SEE (VATICAN CITY STATE)
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN, ISLAMIC REPUBLIC OF
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF
KOREA, REPUBLIC OF
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYAN ARAB JAMAHIRIYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA, FEDERATED STATES OF
MOLDOVA, REPUBLIC OF
MONACO
MONGOLIA
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINIAN TERRITORY, OCCUPIED
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
ROUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT HELENA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADINES
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SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA AND MONTENEGRO
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD AND JAN MAYEN
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN, PROVINCE OF CHINA
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
THAILAND
TIMOR-LESTE
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA
VIET NAM
VIRGIN ISLANDS, BRITISH
VIRGIN ISLANDS, U.S.
WALLIS AND FUTUNA
WESTERN SAHARA
YEMEN
ZAMBIA
ZIMBABWE
Email:
Phone:
Emergency Contact:
Name:
Relationship:
Phone:
Academy, School, or Team Name:
Select
Academy
from list:
Ace Jiu Jitsu
Allan Goes
Aluisio Jiu Jitsu
Atos Jiu Jitsu
Beverly Hills Jiu-Jitsu
BTT
Caique Jiu-Jitsu
Candal Jiu Jitsu
Carlao Valente
Carlson Gracie Chicago
Caverinha Jiu Jitsu
Charles Gracie Daly City
Chute Boxe Omar
Claudio Franca
Cleber Jiu-Jitsu
Conde Koma BJJ
Dartanian Jiu Jitsu
Elite Fight and Fitness
Elite Jiu Jitsu
Fabio Santos
Franco de Camargo Jiu Jitsu
Frederico Sabattini
Gauntlet Brazilian Jiu-Jitsu
Gazze Jiu Jitsu
Gerson Sanginito
Giva Santana
Global Jiu Jitsu
Gold Gym Palm Desert
Gracie Academy Torrance
Gracie Barra
Harvy Berman
Hollywood Brazilian Jiu Jitsu
Jaison Dokie
James Boram
Javier Vasques
Jean Jacques Jiu Jitsu
JJ Performance Training
Joe Moreira
John Ramirez
Kazeka Jiu Jitsu
Legend Martial arts
Leon Jiu Jitsu
Marcelo Jiu-Jitsu
Marcelo Mafra CheckMat
Matt Baker
Megaton and Luciana Dias Jiu- Jitsu
Modesto Power
Nick Moghaddam Jiu Jitsu
OC Jiu Jitsu
Paragon Jiu Jitsu Franjinha
Paragon Jiu Jitsu Santa Barbara
Paragon West Hollywood
Paulo Guillobel
Pedro Carvalho
Pedro Soriano BJJ Club
Power of Leverage
Ralph Gracie Chino
Ralph Gracie Mountain View
Ralph Gracie San Francisco
Raul Castillo
RedLion Jiu Jitsu
Renato Magnu
Rey Diogo Jiu Jitsu
Ricardo Miller
Rickson Gracie
Rigan Machado Redondo Beach
Rodrigo Medeiros
Rodrigo Teixeira
Rommeu Dummbar
San Diego Jiu Jitsu
Selva BJJ
Stable Jiu Jitsu
Team Romulo Barral
Tinguinha Mariano Jiu Jitsu
United Brazilian Jiu Jitsu
University Of Jiu Jitsu
(If not on list, type name below)
Academy:
Address:
City:
State:
- Outside USA -
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Washington DC
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
(If outside USA, enter below the state,
province, district, or area)
ZIP:
Telephone:
T-shirt Size
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
REGISTERED CATEGORIES
Place a check mark next to each category for which you wish to register. All fields appearing under a label of
this color
are required for the category.
MEN:
75.00 USD
(Enable checkbox to register.)
BJJ competitions for MALES ages 16 years and up. To qualify for your age group, you must be the minimum age or older on the date of your match.
NOTE: Maximum weights listed are WITHOUT gi. You do NOT weigh in with the gi on, even though you compete with the gi.
Experience
Belt
- No Selection -
White
Blue
Purple
Brown
Black
Weight
Weight Class
- No Selection -
Rooster (up to 121 lbs)
Light Feather (134.0 lbs and under)
Feather (147.0 lbs and under)
Light (160.0 lbs and under)
Middle (173.0 lbs and under)
Medium Heavy (187.0 lbs and under)
Heavy (202.0 lbs and under)
Super Heavy (213.0 lbs and under)
Ultra Heavy (over 213.0 lbs)
Division
Age Group
- No Selection -
Juvenile (16-17 yrs)
Adult (18 yrs and up)
Master (30 yrs and up)
Senior (40 yrs and up)
WOMEN:
65.00 USD
(Enable checkbox to register.)
BJJ competitions for FEMALES ages 16 years and up. To qualify for your age group, you must be the minimum age or older on the date of your match.
NOTE: Maximum weights listed are WITHOUT gi. You do NOT weigh in with the gi on, even though you compete with the gi.
Experience
Belt
- No Selection -
White
Blue
Purple
Brown
Black
Weight
Weight Class
- No Selection -
Feather (110.0 lbs and under)
Light (125.0 lbs and under)
Middle (145.0 lbs and under)
Heavy (165.0 lbs and under)
Open (Over 165 lbs)
Age
Age Group
- No Selection -
Juvenile (16-17 yrs)
Adult (18 yrs and up)
Master (30 yrs and up)
Senior (40 yrs and up)
JUVENILE:
70.00 USD
(Enable checkbox to register.)
BJJ competition for JUVENILES ages 16-17 yrs. To qualify for this age group, you must be within the correct age range on the date of your match.
NOTE: Maximum weights listed are WITHOUT gi. You do NOT weigh in with the gi on, even though you compete with the gi.
Experience
Belt
- No Selection -
White
Blue
Purple
Weight
Weight Class
- No Selection -
Rooster (104.0 lbs and under)
Light Feather (116.0 lbs and under)
Feather (128.0 lbs and under)
Light (140.0 lbs and under)
Middle (152.0 lbs and under)
Medium Heavy (164.0 lbs and under)
Heavy (176.0 lbs and under)
Super Heavy (188.0 lbs and under)
Ultra Heavy (Over 188.0 lbs)
Gender
Group
- No Selection -
Male
Female
KIDS:
70.00 USD
(Enable checkbox to register.)
BJJ competition for Kids ages 4-15 years. To qualify for your age group, you must be within the correct age range on the date of your match.
NOTE: Maximum weights listed are WITHOUT gi. You do NOT weigh in with the gi on, even though you compete with the gi.
Experience
Belt
- No Selection -
White
Gray
Yellow
Orange
Green
Weight Class
up to 4 yrs old
- No Selection -
Light Feather (30.0 lbs and under)
Feather (36.0 lbs and under)
Light (42.0 lbs and under)
Middle (49.0 lbs and under)
Medium Heavy (56.0 lbs and under)
Heavy (63.0 lbs and under)
Super Heavy (70.0 lbs and under)
Ultra Heavy (Over 70.0 lbs)
5-6 yrs old
- No Selection -
Light Feather (37.0 lbs and under)
Feather (43.0 lbs and under)
Light (49.0 lbs and under)
Middle (56.0 lbs)
Medium Heavy (63.0 lbs and under)
Heavy (70.0 lbs and under)
Super Heavy (78.0 lbs and under)
Ultra Heavy (Over 78.0 lbs)
7-8 yrs old
- No Selection -
Light Feather (46.0 lbs and under)
Feather (53.0 lbs and under)
Light (60.0 lbs and under)
Middle (67.0 lbs and under)
Medium Heavy (74.0 lbs and under)
Heavy (81.0 lbs and under)
Super Heavy (89.0 lbs)
Ultra Heavy (Over 89.0 lbs)
9-10 yrs old
- No Selection -
Rooster (55.0 lbs and under)
Light Feather (61.0 lbs and under)
Feather (68.0 lbs and under)
Light (75.0 lbs and under)
Middle (82.0 lbs and under)
Medium Heavy (89.0 lbs and under)
Heavy (95.0 lbs and under)
Super Heavy (104.0 lbs and under)
Ultra Heavy (Over 104.0 lbs)
11-12 yrs old
- No Selection -
Rooster (65.0 lbs and under)
Light Feather (73.0 lbs and under)
Feather (82.0 lbs and under)
Light (91.0 lbs and under)
Middle (100.0 lbs and under)
Medium Heavy (109.0 lbs and under)
Heavy (118.0 lbs and under)
Super Heavy (128.0 lbs and under)
Ultra Heavy (Over 128.0 lbs)
13-15 yrs old
- No Selection -
Rooster (84.0 lbs and under)
Light Feather (92.0 lbs and under)
Feather (101.0 lbs)
Light (110.0 lbs and under)
Middle (120.0 lbs and under)
Medium Heavy (130.0 lbs and under)
Heavy (141.0 lbs and under)
Super Heavy (152.0 lbs and under)
Ultra Heavy (Over 152.0 lbs)
Gender
Group
- No Selection -
Boys
Girls
INSTRUCTIONS
Please carefully review your registration. There are NO REFUNDS. NO EXCEPTIONS. If you are a black belt, enter the promo code "blackbelt" to receive a free registration.
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