Registration

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The Revolution 11.08.08

Online Registration Ends at 11:59pm Thursday, March 5th.

* First Name

* Last Name

* Team/Academy:

* Street Address

Address Line 2

* City

* State

* Zip Code

* Phone Number

* Email Address

* Will you be 18 years or older the day of the event?

Yes

No

Age (if under 18)

Men's Divisions

Gi ($40)

No-Gi ($40)

Both ($50)

Women's Divisions

Gi ($30)

No-Gi ($30)

Both ($40)

Teen/Children's Divisions

Gi ($30)

No-Gi ($30)

Both ($40)

Active Duty Military Men's Divisions

Gi ($30)

No-Gi ($30)

Both ($40)

Men's Weight Class (pick one)

Women's Weight Class (pick one)

134.9 & under

135 - 149.9

150 & above

Teen/Children's Weight

weight is without Gi
weight classes subject to change to accommodate competitors

* Would you be interested in fighting up a weight class if there is no match for you at your skill level? (adults competitors only)

Yes

No

Teen/child - does not apply

WOMEN COMPETITORS....Would you be willing to fight in the men's division if there is no match available for you in the women's division?

Yes

No

Belt Level (Gi Competitors Adult)

Belt Level (Gi Competitor Teen/Child)

White

Yellow

Orange

Green

Experience Level (No-Gi Competitors)

Beginner 1 year & under

Intermediate 1 ~ 3 years

Advanced 3 years & above

1. Click 'Continue' to verify order
2. Click 'Proceed to Paypal' to pay.
You DO NOT need to have a paypal account to pay with credit card. Just proceed to paypal & enter your billing information and credit card number.

Your registration is NOT complete until you have visited Paypal and paid. Thanks!

* Indicates Response Required