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Member ID:   Password: 
REGISTRANT INFORMATION
While completing this form, do not use the browser BACK or FORWARD buttons; use only the buttons on this form. Fields in this color are required.
Closes at:  19 September 2019 11:59 PM EST
Personal Information:

First Name:
Last Name:
Address:
City:
State:

(If outside USA, enter below the state,
province, district, or area)
 
ZIP:
Country:
Email:
Phone:
Date of Birth: //
Gender:MaleFemale
Approx Weight (kgs):
(integer only)
Judo Affiliation:

Instructor(s):
Club Name:
National Organization:
Membership #:
ENTRY FEES (Maximum 3 divisions)*
  • 1st division if received by Sep 10th 2019 $75.00
  • 2nd division if received by Sep 10th 2019 $30.00
  • 3rd division if received by Sep 10th 2019 $20.00
  • REFUNDS WILL NOT BE CONSIDERED


  • * EXCEPTION: The fee for additional senior divisions remains at $75.00. In other words, if you are already fighting a senior division, the fee for a second senior division is an additional $75.00. NOTE: Due to junior points being awarded, competitors may not fight a second division within their age group unless it is an open division. You may fight juniors and seniors or Juvenile or Cadet and IJF. You also MUST fight in your own age division. Seniors, international and non-point-able bantam divisions may fight in multiple divisions, but the fee for multiple senior divisions is $75 per division

    LATE FEE after Sep 10th 2019 is additional $25.00
    WALK-UP FEE (Sep 20th 2019 only) is additional $35.00
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.
1st Division SENIOR: (Enable checkbox to register.)
SENIOR MEN and SENIOR WOMEN Divisions. Primary division for your actual age group and weight class.
Group  
Senior Women IJF
Senior Men IJF 1-M (rokkyu to yonkyu)
Senior Men IJF 2-M (Brown belts, Dan grades, Elite athletes, qualified juniors)
1st Division NON-Senior: (Enable checkbox to register.)
NON-Senior divisons only. Primary division for your actual age group and weight class.
Group  
5-6 yrs (Born 2013-2014)
7-8 yrs (Born 2011-2012)
9-10 yrs (Born 2009-2010)
Intermediate (Born 2007-2008)
Juvenile (Born 2005-2006)
Cadet (Born 2002-2004)
IJF Junior (Born 1999-2004)
Master Male (30 yrs and up) Novice
Master Male (30 yrs and up) Brown and Black belts
Master Female (30yrs and up)
2nd Division SENIOR: (Enable checkbox to register.)
SENIOR MEN and SENIOR WOMEN Divisions. You must also register for a 1st division before you can qualify for a 2nd division.
Group  
Senior Women IJF
Senior Men IJF 1-M (rokkyu to yonkyu)
Senior Men IJF 2-M (Brown belts, Dan grades, Ellite athletes, qualified juniors)
2nd Division NON-Senior: (Enable checkbox to register.)
NON-Senior divisons only. You must also register for a 1st division before you can register for a second divison.
Group  
5-6 yrs (Born 2013-2014)
7-8 yrs (Born 2011-2012)
9-10 yrs (Born 2009-2010)
Intermediate (Born 2007-2008)
Juvenile (Born 2005-2006)
Cadet (Born 2002-2004)
IJF Junior (Born 1999-2004)
Master Male (30 yrs and up) Novice
Master Male (30 yrs and up) Brown and Black belts
Master Female (30yrs and up)
3rd Division SENIOR: (Enable checkbox to register.)
SENIOR MEN and SENIOR WOMEN Divisions. You must also register for 1st and 2nd divisions before you can qualify for a 3rd division.
Group  
Senior Women IJF
Senior Men IJF 1-M (rokkyu to yonkyu)
Senior Men IJF 2-M (Brown belts, Dan grades, Ellite athletes, qualified juniors)
3rd Division NON-Senior: (Enable checkbox to register.)
NON-Senior divisons only. You must also register for 1st and 2nd divisions before you can register for a 3rd divison.
Group  
5-6 yrs (Born 2013-2014)
7-8 yrs (Born 2011-2012)
9-10 yrs (Born 2009-2010)
Intermediate (Born 2007-2008)
Juvenile (Born 2005-2006)
Cadet (Born 2002-2004)
IJF Junior (Born 1999-2004)
Master Male (30 yrs and up) Novice
Master Male (30 yrs and up) Brown and Black belts
Master Female (30yrs and up)
OPTIONAL ITEMS
Click on "Add To Cart" if you wish to purchase an item with your registration.
Camp Sep 22nd
Price: 50.00 USD
Desc: Individual Entry for Training Camp 9-11 am Sep 22nd at Mayo Quanchi Judo Club, 17 Sandy Bottom Road, Coventry RI 02816.
Qnty:
Add to Cart
INSTRUCTIONS
Carefully review your registration before continuing. REFUNDS WILL NOT BE CONSDIDERED.
REVIEW OF CATEGORIES
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