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Note: *required fields
First Name |
* |
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Last Name |
* |
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Gender |
Male
Female * |
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Age |
* |
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Date of Birth |
* ex: 01/01/80 |
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School
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Brazilian Freestyle Jiu-Jitsu
BJ Penn Academy
Fight for Life - Maui
HMC
Nova Uniao
Grappling Unlimited
Hawaiian Competitive Arts
Inner Circle Grappling
Jesus is Lord
Kali Academy - CA
Ka-mole Jiu-Jitsu
Central Oahu Jiu-Jitsu
Moeller Jiu-Jitsu
No Remorse Fight Team
Relson Gracie - BJJ Rev. Team
Relson Gracie - Derizans Jiu-Jitsu
Relson Gracie - Kaneohe Team
Relson Gracie - Kauai Technical Institute
Relson Gracie - 02 Martial Arts Academy
* |
Relson Gracie - Team HK
Relson Gracie - Main Academy
Relson Gracie - Hawaii Kai
Shootfighting
Team Garage
YNI Catch
Kendall Goo Jiu-Jitsu
Maui Jiu-Jitsu
Clam Gracie Barra
ICON
HOA'AHI Grappling
Team Hi5 (home gym)
Hawaii Combative Arts
Relson Gracie - Team Papakolea Jiu-Jitsu
808 Fight Factory - Gracie Barra
Other School
*type in school if not listed
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Contact Number |
* ex: 111-111-1111 |
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Instructor |
* |
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Instructor Number |
* ex: 111-111-1111 |
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Emergency Contact Name |
* |
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Emergency Contact Number |
* ex: 111-111-1111 |
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Emergency Contact Relationship |
* |
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Competing in Category |
Gi Only
No Gi Only
Both
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Experience Level |
Leave BLANK if you are NOT competing in NO-GI
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Belt |
Leave BLANK if you are NOT competing in GI
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Men's Adult Weight
* ( Men Only ) |
(Up to 121lbs.)
(122-136lbs.)
(137-149lbs.)
(150-162lbs.)
(163-176lbs.)
(177-189lbs.)
(190-203lbs.)
(204-216lbs.)
(Over 217lbs.)
Not applicable - (Competing in Women's Division) |
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Women's Adult Weight
*
( Women Only ) |
(Up to 113lbs.)
(114-124lbs.)
(125-136lbs.)
(137-147lbs.)
(148-158lbs.)
Heavy (Over 159lbs.)
Not applicable - (Competing in Men's Division) |
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Tshirt Size
NOTE: Only Pre-Registered Applicants are guaranteed shirts.
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Agreement |
Adults: Tournament organizers reserve the rights to expand or combine divisions, or make changes to accommodate. IMPORTANT LIABILITY/RISK INFORMATION: I understand that by entering this competition, I will be competing at my own risk and neither Brazilian Freestyle Jiu-Jitsu, its staff, associates and representatives, or the University of Hawaii, shall be held responsible or liable for any injuries or damages sustained during this competition or as a result thereof. Furthermore, if the competitor is a minor, I assert that I am his or her legal guardian and I grant my permission for him or her to participate in this competition, I also understand that I will be required to attend a Rules Clinic scheduled for this event and prior to the start of my competition.
For those who pre-register before the due date and are guaranteed a tshirt. You are responsible to pick up the tshirt at the event. After the event, no tshirts will be available.
Once Agreed, submitted and paid for, I understand that there is absolutely no refunds for this event if I am not able to compete for any reason or don't attend.
*I have read and agreed to the above information.
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***
Paying Person
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I am paying for competitor
(Name of Card Holder)
Not applicable - (I am paying for myself)
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Please include your Email to Confirm this Process
email
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"click only once"
Please be patient, it may take a few moments |
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