Registration form must be received by 2/17/10 to receive discounted pre-reg rate (via postal mail or via online pre-registration)
Adults And Teens
Pre-Reg Fee For One Division (gi or no-gi) $50 (or day of $60)
Pre-Reg Fee For Two Divisions (gi and no-gi) $74 (or day of $80)
Children
Pre-reg fee for one division (gi or no-gi) $25 or $35 day of.
Pre-reg for two divisions (gi and no gi) $30 or $40 day of.
To compete in the Cash Prize Absolute No-Gi Division, add $10 to your total registration fee. If you plan to do the above absolute division only, you must pay for at least one regular division.
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Philadelphia Grappling Championships Online Pre-Registration
for The 2/20/10 PGC's
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Philadelphia Grappling Championships Postal Mail Pre-Registration
2/20/10 at 1719 Washington Ave, Phila, PA 19146 (do not send check to this address. See below)
Please Print, Fill Out And Mail In With Proper Fee to....
508 N. Princeton Ave, Cherry Hill, NJ 08002
Please Make Check Or Money Order Payable To “Brad Daddis” Or “Bradford Enterprises LLC”
Name: ______________________________________________________
Address:_____________________________________________________
City: _______________________________ State/Province: ____________Zip Code:______________
Home Phone: _________________Emergency Contact Name and Phone#________________________
Date of Birth: _____________________
E-mail: _____________________________________Team Name:_______________________________
Actual School/Martial Arts Academy Name:___________________________
Check the Categories and then Circle the division/s you will be competing in:
Men’s Divisions (17 years old and up)
___ No-Gi Sub Grappling: Beginner (6 months or less experience. No wrestlers or blue belts permitted in this division) Intermediate (6 months-2 years experience in any grappling art. No purple belts permitted in this division) Advanced (2 years and up)
___ $Cash Prize No-Gi Sub Grappling Absolute Division (be sure to add $10 to pre-reg fee)
___Beginner No-Gi Absolute (6 months training or less) (No extra charge)
___Brazilian Jiu-Jitsu White Belt Blue Belt Purple Belt Brown Belt Black Belt
___Brazilian Jiu-Jitsu Absolute (No additional charge)
Women’s Divisions: Please note that female divisions will all depend upon the amount of competitors that attend the day of. If there are fewer females, there will be less divisions and if there are many, there will be additional divisions. If there is no one to compete against in your division, you will be given a refund. Depending on the amount of competitors, divisions may be combined in a fair and balanced manner.
___No Gi Sub Grappling Circle one: 131.9lbs or less or 131.9lbs or more
___Brazilian Jiu-Jitsu Note: Belts may be combined in some manner depending on the amount of competitors. Circle one: 131.9lbs or less or 131.9lbs or more Circle: White Blue Purple Brown Black
Teens (Up to 17 years old. Weight divisions may be combined)
___No Gi Sub Grappling Circle: 0-12 months exp 12 months - up experience
___Brazilian Jiu-Jitsu Circle: 0-12 months exp 12 months – up experience
Children's Divisions
___ Brackets for competitors aged 4-17 are made the day of the event . There are no preset weight classes for children and teens. At the end of weigh ins, the children and teens will be sorted by weight. Brackets will then be made by grouping them into sets of 4 or 8 (depending on turnout). Juveniles will be divided by weight, experience, and age.
TOURNAMENT RELEASE AND WAIVER: I, the undersigned, hereby waive all claims against any and all persons associated with any of the participating schools and competitors. I understand the rules of the tournament and will abide by them. I understand that I am participating in a sport that has body contact. I assume full responsibility for all of my actions during and connected to the above tournament. I understand the risk of competing in this form of Martial Arts competition and hereby release the event organizers and all of its employees and associates, tournament sponsors and the event facility, from any type of injury, loss, or death sustained while competing in this competition. I, the undersigned also state that I am in good physical condition and know of no reason why I cannot participate in this Martial Arts event. . I have current Health Insurance. I understand that divisions and/or weight classes are subject to change. In case of an emergency, I hereby authorize any licensed medical personnel to perform any accepted medical procedure deemed necessary and I agree to bear the expense of any such treatment. Brad Daddis, Bradford Enterprises, LLC nor New Jersey Grappling Championships are responsible for any medical fees for injuries incurred while participating in this tournament. I also agree that my attendance and/or performance at the tournament may be photographed, filmed, or taped and used by Bradford Enterprises, LLC exclusively and I waive any compensation thereof. I, the undersigned, have read the rules and the release above and agree to all of its terms and sign below to complete this form:
Signature ( Or Parent if under 18): __________________________________________
Print Name: ___________________________________ Date: _______
Weight Classes Below (note: You are simply circling your planned weight class. You will be weighed in the morning of to confirm weight (Weigh-ins are from 8:30am-9:30am for No-Gi. Weigh-ins are up to 1pm for Gi divisions) . We reserve the right to combine divisions. Please re-visit website for the days schedule shortly. If you miss your division, you will not be given a refund.
Men's No-Gi Sub Grappling and BJJ Weight Classes (you will NOT weigh in with gi on for BJJ):
Flyweight: 145lbs and under
Lightweight: 146lbs-160lbs
Welterweight: 161lbs-179lbs.
Cruiserweight: 180lbs-199 lbs.
Heavyweight: 200 lbs. and over
Length Of Matches For Sub Grappling
All Women’s Matches: 5 min
All Childrens: 4 min
All Teen Matches: 4 min
Men’s Beginner: 4 min
Men’s Intermediate: 5 min
Men’s Advanced: 6 min
Length Of Matches For Brazilian Jiu-Jitsu
All Childrens: 4 min
White Belt: 5 minutes
Blue Belt: 6 minutes
Purple Belt: 7 minutes
Brown Belt: 8 minutes
Black Belt: 10 minutes
Please be sure to read "Rules" page before participating in event.
See you 9/5 and good luck!
You do not have to click on the "Submit" button below. Thank you
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