ü Please check off the approximate weight you believe you will fight at, weigh-in’s the day of the event will actually dictate where you fight
BATTLE AT THE BEACH ADULT GI PRE-REGISTRATION FORM &
CHILDREN & TEENS PRE-REG FORM (Deadline 8/1/04)
FIGHTER PROFILE - Please Note: You only need to fill out the Name/Address section on one side of this form
|
Name: |
|
Phone: |
Pre Reg # of Spectators: |
|
|
Address: |
|
|
FREE T-SHIRT: (Circle 1 per Fighter) Adult Sizes = M, L, XL, XXL (add $2 for xxl) Kids Sizes = M, L |
|
|
City: |
|
State: |
Zip: |
|
|
Email: |
|
Team: DOB: |
|
|
ADULT GI GRAPPLING DIVISIONS: Place an “X” in the Division(s) you wish to enter:
|
MEN’S - WHITE BELT |
MEN’S - BLUE BELT |
MEN’S - PURPLE BELT |
|
_____ Fly Weight (139.5 lbs. & Under) |
_____ Fly Weight (139.5 lbs. & Under) |
_____ Light Weight (154.5 lbs. & Under) |
|
_____ Feather Weight (140 & 149.5 lbs.) |
_____ Feather Weight (140 & 149.5 lbs.) |
_____ Middle Weight (155 to 174.5 lbs.) |
|
_____ Light Weight (150 to 159.5 lbs.) |
_____ Light Weight (150 to 159.5 lbs.) |
_____ Light Hvy. Wt. (175 to 199.5 lbs.) |
|
_____ Welter Weight (160 to 169.5 lbs.) |
_____ Welter Weight (160 to 169.5 lbs.) |
_____ Heavy Weight (200 & Above) |
|
_____ Middle Weight (170 to 179.5) |
_____ Middle Weight (170 to 179.5) |
|
|
_____ Light Heavy Weight (180 to 189.5) |
_____ Light Hvy. Weight (180 to 189.5) |
MEN’S EXPERT GI |
|
_____ Cruiser Weight (190 to 199.5 lbs.) |
_____ Cruiser Weight (190 to 199.5 lbs.) |
_____ Light Weight (174.5 lbs. & Under) |
|
_____ Heavy Weight (200 to 224.5 lbs.) |
_____ Heavy Weight (200 to 224.5 lbs.) |
_____ Heavy Weight (175 & Above) |
|
_____ Super Heavy Weight (225 lbs. + ) |
_____ Super Heavy Weight (225 lbs. + ) |
$500 Cash Prize for each Expert Winner |
|
WOMEN’S WHITE BELT DIVISIONS |
WOMEN’S BLUE BELT & ABOVE |
DIRECTOR’S Ages 40 to 50 Years Old |
|
_____ Light Weight (Under 134.5 lbs.) |
_____ Light Weight (Under 134.5 lbs.) |
_____ Light Weight (174.5 lbs. & Under) |
|
_____ Middle Weight (135 lbs to 159.5) |
_____ Middle Weight (135 lbs to 159.5) |
_____ Heavy Weight (175 lbs. & Above) |
|
_____ Light Heavy Weight (160 lbs. +) |
_____ Light Heavy Weight (160 lbs. +) |
|
|
MASTERS BEGINNER Ages 30 to 40 Years Old |
MASTERS ADVANCED Ages 30 to 40 Years Old |
EXECUTIVE Ages 50 Years & Above |
|
_____ Light Weight (174.5 & Under) |
_____ Light Weight (174.5 & Under) |
|
|
_____ Middle Weight (175 to 194.5) |
_____ Middle Weight (175 to 194.5) |
_____ One Division |
|
_____ Heavy Weight (195 & Above) |
_____ Heavy Weight (195 & Above) |
|
TEEN’S GRAPPLING DIVISIONS (Ages 15, 16 & 17 Years Old): Weight Classes determined at the event
|
TEENS EXPERIENCE LEVEL |
AGE & WEIGHT |
COMPETING IN: |
|
_____ BEGINNER Under 1 year experience _____ INTERMEDIATE 1 years to 2 years experience _____ ADVANCED 2 Years + |
____ Years old ____ Approx. Weight |
_____ NO-GI & GI (Fight in both) _____ NO-GI Only _____ GI Only |
54
CHILDREN’S GRAPPLING DIVISIONS (Ages 14 & Under):
Children’s weight classes will be:
49.5 lbs & under, 50 to 59.5 lbs, 60 to 69.5 lbs, 70 to 79.5 lbs, 80 to 89.5
lbs, 90 to 99.5 lbs, 100 to 114.5 lbs, 115 to 129.5lbs., 130 lbs. & Above.
Please note: Only Beginner Children Divisions are NO SUBMISSION rounds.
|
CHILDREN EXPERIENCE LEVEL |
SEX |
AGE & WEIGHT |
COMPETING IN: |
|
_____ BEGINNER Under 1 year experience _____ INTERMEDIATE 1 years to 2 years experience _____ ADVANCED 2 Years + |
___
BOY |
____ Years old ____ Approx. Weight |
_____ NO-GI & GI (Fight in both) _____ NO-GI Only _____ GI Only |
REGISTRATION FEES FREE COMPETITION T-SHIRT TO ALL PRE-REG FIGHTERS
Pre-Registered Spectators $ 5 per person per day, Day of event $10 per person per day
Adults $ 75 to fight one day, $99 to fight on both days (Gi + No-Gi)
Kids & Teens $ 75 to compete on Sunday (Can fight in both No-GI & Gi)
Family Discount $125 for 2 fighters from the same family (One Day)
$150 for 3 or more fighters from the same family (i.e. Dad and 2 Kids)
$150 for Adult & Child (Adult Competes both days)
Please mail completed Pre-Registration form and check to: NAGA,
35 Valley Run Drive, Cromwell, CT 06416