Colorado State Grappling Championships
July 12th, 2008

Registration Form-Individual Competitor

Date: Saturday, July 12th - starting at 9:00 am
Tournament schedule (chronogram) will be posted on our website by July 9th, giving an approximate idea of what time your division will start. Please check back to see when your division checks in.

First Check in, the Kids Division will begin at 8:00am - Rules will start at 9:00am, tournament begins afterwards.

9:00AM 1st Check In for Masters, Adults, Women and Teens - Rules will start about 10:00 to 10:30AM. Divisions posted by April 18th on our Chronogram page.


Please Note:
Masters, Adults, Women and Teen Divisions
The fee for early registration received by 9:00pm, Thursday, July 3rd, is $55.00.
The fee for late registration received July 4th to July 7th will be $70.00.

Children's Divisions ( 12 and under)
The fee for early registration received by 9:00pm, Thursday, July 3rd, is $35.00.
The fee for late registration received July 4th to July 7th will be $50.00.


Competitor Name _________________________________________________________________________

Street Address _______________________________________ City_________________________________

State __________________________Zip Code___________________ Country ________________________

Day Phone_________________________________ Evening Phone__________________________________

Email ___________________________________________________

Emergency Contact ____________________________________Phone_______________________________

Academy Name_______________________________________________________________________

*Address _______________________________________________City_______________________________

State __________________________ Zip Code___________________* Phone_________________________

Email ____________________________________________________________

Only 2 instructors or coaches from each Academy location. Talk to your instructor to find out which 2 will get free admission from your academy. We do ask for their emails to let them know about upcoming tournaments, a fair exchange! Please add their emails even if we already have it as it is easier for our after tournament work.

Instructor / coach 1_____________________________Email_______________________________________

Instructor / coach 2_____________________________Email_______________________________________

Where did you hear about the tournament? ( circle one)    

Academy    Flyer    Online Search    Online Forum    Our Website    Different Website    Newsletter    Friend    

Other ____________________________________

Competitor Information

Place a check mark or an X in the relevant box for each section.

Skill Divisions:

Children and Teen
Beginner (under 18 months) ___
Advanced ( over 18 months) ___

Master, Adult, Women
Novice (0 to 9 months) ___
Beginner (9 to 18 months) ___  
Intermidium (18 to 36 months) ___
Advanced (36 months and over) ___

Gender:

Male____ Female____


Age Divisions:

Children: 12 years old and under___ with parent consent only
No neck cranks, cervical locks, heel hooks, toe holds or knee bars allowed in ANY Teen's divisions!
Actual Age________
Actual Weight__________

Teen: 13 to 17 year-old ___ with parent consent only
No neck cranks, cervical locks, heel hooks, toe holds or knee bars allowed in ANY Teen's divisions!
Actual Age________
Actual Weight__________

Adult: 18 years-old and up___

Master: 30 year-old and over ___

1. All Age Categories:
If no other competitor registers for your weight division, are you willing to fight up in weight categories?
Yes___ No___

2. Masters Only:
If there are no other competitors in your age division are you willing to fight in the adult division?
Yes___ No___


Note: If there are no competitors in the age or weight division you choose and you’re not willing to move up in weight or down in age division, you may still enter the absolute division. No refunds will be given. We highly recommend that you mark YES on the questions above to increase your chances of having a match.

Please check your T-shirt size


Youth Small____ Youth Medium____ Youth Large____ Adults Medium____ Adults Large____ Adults Extra Large____ Adults Double Extra Large____

Weight Category

Please find your category on the following tables and place a check in the box to the right of your category. Note that we will weigh each competitor after check in. You only get ONE CHANCE to make weight, so PLEASE be sure to register for the correct category in order to avoid DISQUALIFICATION.

Please mark the weight division you wish to enter. Mark only ONE division and only one Absolute division!
Absolute divisions will only be used if time permits. You will be able to sign up the absolute division after your weight division bracket is concluded at the tournament.

Note: Photo ID will be required as a proof of age in order to enter the Teen's & Master's divisions. If a competitor enters the wrong division he will NOT be able to change divisions at the day of the tournament and will be DISQUALIFIED, registration fee is NON - REFUNDABLE! Be sure to enter the appropriate age division.

Send Registrations to:
Rocky Mountain Brazilian Jiu Jitsu Federation ( R.M.B.J.J.F)
2790 Industrial Ln
Broomfield CO 80020

Tournament Location:
Location is subject to change
Northglenn Rec Center
11801 Community Center Drive
Northglenn, CO 80233-1003
Call RMBJJF at 888-847-8094 for tournament info.

Optional writing -but helpful for us to provide you with better tournaments.

What did you like or and dislike about our past tournaments?________________________________________

________________________________________________________________________________________


What would you like to see in the future with our tournaments?_______________________________________

________________________________________________________________________________________








2nd Colorado State Grappling Championships RELEASE OF LIABILITY



I, _____________________________________________, UNDERSTAND THAT BY ENTERING THIS COMPETITION, I WILL BE COMPETING AT MY OWN RISK AND NEITHER MAURICIO ZINGANO, JANET ZINGANO, THE ARVADA HIGH SCHOOL, THE 2ND COLORADO STATE GRAPPLING CHAMPIONSHIPS NOR THE ROCKY MOUNTAIN BRAZILIAN JIU-JITSU FEDERATION, LLC SHALL BE HELD RESPONSIBLE OR LIABLE FOR ANY INJURIES, DAMAGES OR DEATH SUSTAINED DURING THIS COMPETITION OR AS A RESULT THEREOF.

FURTHERMORE, IF THE COMPETITOR IS A MINOR, I ASSERT THAT I AM HIS OR HER LEGAL GUARDIAN AND I GRANT MY PERMISSION FOR HIM OR HER TO PARTICIPATE IN THE COLORADO STATE GRAPPLING CHAMPIONSHIPS.

ALL COMPETITORS UNDERSTAND THAT UPON ENTERING THE COMPETITION ARENA, THEIR IMAGE MAY BE RECORDED BY VARIOUS MEANS, INCLUDING BUT NOT LIMITED TO AUDIO, VIDEO, AND STILL PHOTOGRAPHY. ALL COMPETITORS RELEASE MAURICIO ZINGANO, JANET ZINGANO AND THE ROCKY MOUNTAIN BRAZILIAN JIU JITSU FEDERATION, LLC FROM ANY LIABILITY ASSOCIATED WITH THE USE OF SUCH IMAGES. ALL COMPETITORS WAIVE ANY RIGHT TO THE USE OR OWNERSHIP OF SUCH IMAGES.

SKILL LEVEL VERIFICATION POLICY IN ORDER TO ENSURE THAT ALL COMPETITORS ARE TRULY QUALIFIED FOR THEIR LEVEL OF COMPETITION, THE ROCKY MOUNTAIN BRAZILIAN JIU JITSU FEDERATION REQUIRES ALL COMPETITORS TO READ AND SIGN THE FOLLOWING CERTIFICATION:

THE UNDERSIGNED CERTIFIES:

1) THAT HE/SHE IS THE RANK OF __________________

2) THAT HE/SHE HAS NOT COMPETED IN PAST TOURNAMENTS AT A HIGHER DIVISION LEVEL;

3) THAT HE/SHE WILL NOT COMPETE IN FUTURE TOURNAMENTS AT A LOWER DIVISION LEVEL.

THE UNDERSIGNED AGREES THAT THE ROCKY MOUNTAIN BRAZILIAN JIU JITSU COMMITTEE MAY CONDUCT AN INVESTIGATION AS TO THE ACCURACY OF THE ABOVE CERTIFICATION, AND CAN PUBLISH THE RESULTS WITH OTHER BJJ/GRAPPLING PROMOTERS AND THE ROCKY MOUNTAIN BRAZILIAN JIU-JITSU FEDERATION IN ORDER TO VERIFY THE ACCURACY THEREOF.

ANY VIOLATION OF THE ABOVE POLICY WILL RESULT IN IMMEDIATE FORFEITURE OF REGISTRATION FEES AND DISQUALIFICATION FROM THE CURRENT TOURNAMENT, AND MAY RESULT IN DISQUALIFICATION FROM FUTURE TOURNAMENTS.

FINALLY, I ACKNOWLEDGE THAT BY AUTHORIZING THIS PAYMENT I CONSENT TO ALL THE TERMS AND CONDITIONS CONTAINED HEREIN.

PARTICIPANT SIGNATURE__________________________________________________________________

DATE______________________



PARENT OR GUARDIAN SIGNATURE __________________________________________________________

DATE______________________