CHICAGO NO-GI PRE-REGISTRATION FORM (Deadline 5/12/04)
Fees: Pre-Registration = $65 to compete (Both Gi & No-Gi), $5 Spectator
Family Rates for a parent & child or two kids from the same family = $99, 3 Fighters or more from the same family = $149
Day of the event = $65 to compete, $10 Spectator, Pre-Registered Fighters get free Competition T-Shirts
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Name: |
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Phone: |
Pre Reg # of Spectators: |
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Address: |
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FREE T-Shirt Size: S, M, L, XL, (XXL add $2) |
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City: |
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State: |
Zip: |
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Email: |
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Team: DOB: |
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MENS ADULT NO-GI GRAPPLING DIVISIONS:
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EXPERIENCE LEVEL |
8 WEIGHT CLASSES (Choose one): |
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_____ MENS NOVICE (No-GI) 6 Months & Under experience _____ MENS BEGINNER (No-GI) 6 Months to 1 year experience _____ MENS INTERMEDIATE (No-GI) 1 years to 3 years experience _____ MENS ADVANCED (No-GI) 3 Years + Experience
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EXPERT (No-Gi) Under 175 lbs_____ Expert Divisions Winners take home Championship Belts, only two weight classes |
_____ 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 + ) |
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MENS – MASTERS BEGINNER (No-GI) Ages 30 to 40 Years Young |
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____ Light Weight (174.5 & Under) ____ Heavy Weight (175 & Above +) |
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MENS – MASTERS ADVANCED (No-GI) Ages 30 to 40 Years Young |
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____ Light Weight (174.5 & Under) ____ Heavy Weight (175 & Above +) |
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MENS – DIRECTOR’S (No-GI) Ages 40 & Above |
MENS – EXECUTIVE (No-GI) Ages 50 + |
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___ Light Weight (174.5 & Under) ____ Middle Weight (175 lbs. & Above) |
_____ One Division |
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WOMEN’S ADULT NO-GI GRAPPLING DIVISIONS:
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EXPERIENCE LEVEL |
WEIGHT CLASSES (Choose one): |
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_____ WOMEN’S – BEGINNER (No-GI) Less than 1 year experience _____ WOMEN’S – ADVANCED (No-GI) Over 1 year experience
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_____ Light Weight (134.5 lbs. & Under) _____ Middle Weight (135 lbs. & Above) |
TEEN’S GRAPPLING DIVISIONS (Ages 15 to 17): Please fill out all 4 sections
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TEENS EXPERIENCE LEVEL |
SEX |
AGE |
DIVISIONS TO COMPETE IN |
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_____ BEGINNER Under 1 year experience _____ ADVANCED 1 Year + Experience |
___ Male
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____ Years old
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_____ NO-GI & GI (Fight in both) _____ NO-GI Only _____ GI Only |
In total, we will have 40 Kids and Teens Divisions which will be broken up to allow for fair competition.
CHILDREN’S GRAPPLING DIVISIONS (Ages 14 & Under): Please fill out all 4 sections
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CHILDREN EXPERIENCE LEVEL |
SEX |
AGE |
DIVISIONS TO COMPETE IN |
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_____ BEGINNER Under 1 year experience _____ INTERMEDIATE 1 years to 2 years experience _____ ADVANCED 2 Years + Experience |
___ Male
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____ Years old
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_____ NO-GI & GI (Fight in both) _____ NO-GI Only _____ GI Only |
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There are
3 ways to register for this event: 1. Pre-Register Online with your MC, AMEX OR VISA WWW.NAGAFIGHTER.COM 2. Register the day of the event at the door 3. Fill out and mail in the attached application with a check to the following address: |
Mail Pre-Reg Form and Checks to: NAGA 35 Valley Run Dr. Cromwell, CT 06416 |