Registration

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The Revolution 07.12.08

Online Registration Ends at 11:59pm Thursday, July 10th.

* 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's Divisions

Gi ($30)

No-Gi ($30)

Both ($40)

Children'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

Belt Level (Gi Competitors Adult)

Belt Level (Gi Competitor Teen/Children)

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