Final Step - Pre-Registration for February 20th, 2010
In order to successfully register you must fill out all of the information below. You must also print out, sign, and bring the Release and Waiver Form with you to the event. You can download the Release and Waiver Form HERE. Competitors will not be allowed to compete without this form.

Your Name:
*Required Field
Street Address:
*Required Field
City:
*Required Field

Zip Code:
*Required Field
Phone Number:
*Required Field
Emergency Contact:
*Required Field
Emergency Contact Phone Number:
*Required Field

Only select the Brazilian Jiu-Jitsu belt class below if you are competing in the Brazilian Jiu-Jitsu Division.

Select your Weight Class (for No Gi and BJJ):

Brazilian Jiu-Jitsu Division: