GRAPPLEFEST 27

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REGISTRANT INFORMATION

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Closes at: 6 September 2017 06:00 PM US/Mountain

Competitor Information:
First name:
Last Name:
Date Of Birth:	//
Gender:	MaleFemale
Weight (in lbs):	(integer only)
Contact Information:
Email:
Address1:
Address2:
City:
State:	(If outside USA, enter below the state, province, district, or area)

ZIP:
Country:
Day Tel:
Night Tel:

Academy, Gym, or Club:
Instructor(s):
Select Academy from list:
	(If not on list, type name below)
Academy:
Address:
City:
State:	(If outside USA, enter below the state, province, district, or area)

ZIP:
Country:
Telephone:
Emergency Contacts:
Name:
Phone:

T-shirt Size

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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.

JUVENILE Gi: 65.00 USD (Enable checkbox to register.)

Gi competition for ages (KID) 6-8 yrs, (Youth) 9-11 yrs, (Junior) 12-14 yrs, and (Teen) 15-17 yrs.

Experience
Belt

Weight
KID 6-8 yrs
YOUTH 9-11 yrs
JUNIOR 12-14 yrs
TEEN 15-17 yrs

JUVENILE NoGi: 65.00 USD (Enable checkbox to register.)

NoGi competition for ages (KID) 6-8 yrs, (Youth) 9-11 yrs, (Junior) 12-14 yrs, and (Teen) 15-17 yrs.

Experience
Level

Weight
KID 6-8 yrs
YOUTH 9-11 yrs
JUNIOR 12-14 yrs
TEEN 15-17 yrs

WOMEN Gi: 65.00 USD (Enable checkbox to register.)

Experience
Belt

Weight
Division

WOMEN NoGi: 65.00 USD (Enable checkbox to register.)

Experience
Level

Weight
Division

MEN Gi: 65.00 USD (Enable checkbox to register.)

Experience
Belt

Weight
Division

MEN NoGi: 65.00 USD (Enable checkbox to register.)

Experience
Level

Weight
Division

MASTER Gi: 65.00 USD (Enable checkbox to register.)

Gi competition for Males aged 36 years and older

Experience
Belt

Weight
Division

MASTER NoGi: 65.00 USD (Enable checkbox to register.)

NoGi competition for Males aged 36 years and older

Experience
Level

Weight
Division

OPTIONAL ITEMS

Click on "Add To Cart" if you wish to purchase an item with your registration.

Spectator Ticket

Price: 15.00 USD

Desc: General admission for one. Kids 5 yrs and under are FREE.

Qnty:

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INSTRUCTIONS

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REVIEW OF CATEGORIES

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Payment Method

PayPal

WAIVER AND TERMS OF THIS EVENT (enable the checkbox if you agree)

I hereby waive all claims against all persons associated with the participating schools and competitors. I understand and will abide by the tournament rules. I assume full responsibility for my actions during the tournament. I understand the risks of competing in this tournament and hereby release Combat Sports Club LLC (CSC) and the event known as The Southwest Grapplefest, and all its employees, officials, volunteers, sponsors, hosted venue and David, Ana and Daniel Friedlander from any type of injury, loss or death sustained while preparing for or competing in this competition. I also state that I am in good physical condition to compete in this tournament and have current adequate health insurance. I hereby authorize any licensed medical personnel to perform necessary medical treatment on me and agree to bare the expense of such treatment. I understand that divisions and weight classes are subject to change and that CSC does not offer refunds. I agree that my participation at the tournament may be filmed or photographed for use by schools, spectators and CSC and waive any compensation thereof. Click here to read the waiver and terms of this event.

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