Name:

Phone:               

                 Pre Reg # of Spectators:     

Address:

T-Shirt Circle One: S, M,  L,  XL, (XXL add $2)

City:

State:

Zip:

Email:

Team:                                                  DOB:

MEN’S - WHITE BELT

MEN’S - BLUE BELT

MEN’S - PURPLE & ABOVE

_____ Fly Weight (139.9 lbs. & Under)

_____ Feather Weight (140 & 149.9 lbs.)

_____ Light Weight (150 to 159.9 lbs.)

_____ Welter Weight (160 to 169.9 lbs.)

_____ Middle Weight (170 to 179.9 lbs.)

_____ Light Heavy Weight (180 to 194.5)

_____ Heavy Weight (195 to 214.5 lbs.)

_____ Super Heavy Weight (215 + )

_____ Fly Weight (139.9 lbs. & Under)

_____ Feather Weight (140 & 149.9 lbs.)

_____ Light Weight (150 to 159.9 lbs.)

_____ Welter Weight (160 to 169.9 lbs.)

_____ Middle Weight (170 to 179.9 lbs.)

_____ Light Heavy Weight (180 to 194.5)

_____ Heavy Weight (195 to 214.5 lbs.)

_____ Super Heavy Weight (215 + )

_____ Light Weight (159.5 lbs. & Under)

_____ Middle Weight (160 to 184.5 lbs.)

_____ Heavy Weight (185 lbs. +)

WOMEN’S

WHITE BELT DIVISIONS

WOMEN’S 

BLUE BELT & ABOVE

DIRECTOR’S

Ages 40 to 50 Years Old

_____ Light Weight (134.5 lbs. & Under)

_____ Light Weight (134.5 lbs. & Under)

_____ Middle Weight  (135 lbs. & Above)

_____ Middle Weight  (135 lbs. & Above)

_____ One Division

MASTER’S WHITE BELT

 Ages 30 to 40 Years Old

MASTER’S ADVANCED

 Ages 30 to 40 Years Old

EXECUTIVE’S

 Ages 50 Years & Above

_____ Light Weight (174.5 & Under)

_____ Light Weight  (174.5 & Under)

_____ Heavy Weight (175 & Above)

_____ Heavy Weight (175 & Above)

_____ One Division