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