NC STATE BJJ / SUBMISSION CHAMPIONSHIPS

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 divisionKids: $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:


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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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Riccardo Ammendolia