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NC STATE BJJ / SUBMISSION CHAMPIONSHIPS

    Wed, 2007-10-17 14:21 — Riccardo Ammendolia

    NC STATE BJJ / SUBMISSION CHAMPIONSHIPSIs shaping up to be another Hot one!!!

    The NC State BJJ/Submission Championships will be held on November 11th at the

    Sun Valley High School Monroe, N.C.

    There will be GI & No Gi divisions.

    Pro- division for a $$ Pot.

    ($100 entry fee -Winner takes The POT!!!)

    Weighins will start Nov 11th at 9:30am / event to start at 11:30am

    Fee: $50 pre reg. - $60 at the door --- one division
    Kids: $35 pre reg. - $45 at the door

    ALLIANCE ATLANTA MEMBERS $60 FOR MULTI DIVISIONS GI/NO GI

    This years championship is a RANKED event!!

    Any questions or suggestion please email info@ncbjjf.com

    www.ncbjjf.com

    Sponsored by:

    honda_logo.jpg

    2007 NC State BJJ/Submission Championships

    INDIVIDUAL COMPETITOR REGISTRATION FORM

    NCBJJF ID#: __________________________________

    School: _________________________________ (______) ________-_________________

    School Phone #

    Name: __________________________________ __________________________________

    First Last

    Address: _______________________________ (__________________) (_____) (_________)

    Street City State Zip Code

    Telephone: (_______) _________-______________ Date of Birth: ______/______/_______

    Month Date Year

    Email Address:________________________________________________________________

    Emergency Contact: _______________________________ (______) _______-___________

    Name Phone #

    AGE CATEGORY

    BELT

    WEIGHT DIVISION ( male )

    16 yrs. and older

    WEIGHT DIVISION ( female)

    16 yrs. and older

    * Kids ( 5 – 15)

    White Belt

    Rooster

    110 – 121lbs

    Rooster

    110 – 121lbs

    Juniors (16 – 17)

    Yellow Belt

    Super Feather

    122 – 134lbs.

    Super Feather

    122 – 134lbs

    Adults (18 – 29)

    Orange Belt

    Feather

    135 – 147lbs.

    Feather

    135 – 147lbs

    Masters (30 – 39)

    Green Belt

    Light

    148 – 160lbs.

    Light

    148 – 160lbs

    Seniors (40 & Older)

    Blue Belt

    Middle

    161 – 173lbs.

    Middle

    161 – 173lbs

    Women

    Purple Belt

    Light Heavy

    174 – 187lbs.

    Light Heavy

    174 – 187lbs

    * Kids *

    All the matches

    will be the closest

    weight, age, and belt.

    Brown Belt

    Heavy

    188 – 202lbs.

    Heavy

    188 – 202lbs

    Black Belt

    Super Heavy

    203 – 213lbs.

    Super Heavy

    203 – 213lbs

    Unlimited

    214lbs. &Over

    Unlimited

    214 lbs&Over

    Open Class

    All weights

    Open Class

    All weights

    PLEASE MARK AN “X” (FOR AGE CATEGORY, BELT, WEIGHT DIVISION (MALE & FAMALE)

    _______________________________________________________________________________

    GI DIVISION ------ NO GI DIVISIONS BEG INTER ADV

    I__________________________________________, understand that by entering this competition I will be competing at my own risk and agree

    that NCBJJF, Inc

    inc inluding Luis Togno, and any heir, successor, assign, executor, employee, member, representative, owner or director of any or all of them by any third party as a

    direct or indirect result of my participation in the participation in any activity directly or indirectly associated with the 2007 NC State BJJ/Submission Championships Tournament are

    not responsible or liable for any injuries or damages sustained during this competition or as result thereof.

    X____________________________________________ ________/________/_______

    Signature (Parent or guardian if under 18) Month Date Year

    *Note: Some Divisions may be combined.

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