Colorado State Jiu Jitsu Championships
July 21st 2007

Registration Form-Individual Competitor

Important! Check off each to let us know that you have read our 8 tournament instructions.

Make sure your are registered!
1. _______ To make sure that we have received your registration and that you are part of a bracket, please check our website on our event page and click on registered competitors for your name. If your name is not on the list, you will not be competing. We should have names posted within 24 hours of registration and have them all up the night before the event.

Free Coach or Instructor Admission
2. _______ We allow ONLY 2 FREEE INSTRUCTOR OR COACHES FROM EACH ACADEMY LOCATION, please do not make the whole decision for your academy!!! Ask your instructor who the 2 free instructor/coach are going to be for your academy, then add their names during registration so they can get free admission. Instructor and coach list will also be posted on the website on the event page. If their names are not there within 24 hours of registration or by the night before the event, please contact us.

Team Trophies and Points
3. _______ Only two academies/locations per team are allowed to enter as one team in order to gain points for their team. In the case of one team having multiple locations (more than 2), they will have to split their teams in to "Team A", "Team B" and so forth. Team A and Team B can not combine their points for the overall points towards team awards! If 2 Academies are joining as a team, please put down your actual academy name first, then put your team academy next for proper credit for team trophies and points.

Important Academy and Bracket Information!
4. _______ Please put down the correct academy name. If they are spelled differently then they will be bracket as 2 different academies and you might end up fighting someone from your academy first. They will also be turned into grapplingleague.com with the wrong names. Brackets will not be changed due to misspelling or writing down the wrong academy name, etc. This is a standard practice for a lot of tournaments and a good habit to get into.

Support your Academy
5. _______ We give out team trophies and put your academy on our website to help advertise their school. Help support your Academy by providing their information on our registration form.

Medals and Podium Pictures
6. _______ If you have won a medal, please show your support to the other winners and don't leave without your medal and taking the podium picture. If you have to leave, please check in at the front booth and they will take a single picture of you and give you your medal. Handing out medals and taking podium pictures start shortly after your division is done.

Tournament Rules
7. _______ It's your responsibility to read tournament rules before the tournament. You can also print them from our website.

Spectator Fee
8. _______ Please let friends and family know that there is a $5 spectator fee so they are not surprised at the door.


Date: Saturday, July 21st - starting at 9:00 am
Tournament schedule (chronogram) will be posted on our website by July 20th giving a approximate idea of what time your division will start. Please check back to see when your division checks in.

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

Second Check in begins at 12:00 noon - Please read the rules on our website.

Don't forget to check the chronogram to see when your division checks in as some of you may not have to check in in the morning. Chronogram will be posted July 20th.


Please Note:

The fee for early registration, i.e., received by 9:00pm, Monday, July 16th, is $55.00.
The fee for late registration received July 17th to 19th will be $70.00. ABSOLUTELY NO REGISTRATION WILL BE ACCEPTED AFTER 9:00 pm July 19th! Also, note that registration fee(s) are non-refundable.


Competitor Name _________________________________________________________________________

Street Address _______________________________________ City_________________________________

State __________________________Zip Code___________________ Country ________________________

Day Phone_________________________________ Evening Phone__________________________________

Email ___________________________________________________

Emergency Contact ____________________________________Phone_______________________________

Help support your Academy by filling in as much information as possible.

Important academy and bracket information!
Please put down the CORRECT ACADEMY NAME AND SPELLING. If 2 Academies are joining as a team, please put down your actual academy name first, then put your team academy next. Important that you do this so we can bracket the competitors and credit the schools correctly. Brackets will not be changed due to writing down the wrong academy name or misspellings, etc.

Your Academy Name_______________________________________________________________________

Team Academy Name______________________________________________________________________

*Address _______________________________________________City_______________________________

State __________________________ Zip Code___________________* Phone_________________________

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.

Belt Division:

White___
Blue___
Purple___
Brown/Black*___

*Brown and Black belts will fight in the same division.

Gender:

Male____ Female____


Age Division

Teen: 14 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!)

Adult: 18 years-old and up___

Master: 35 year-old and over ___

This question applies to all age categories: If no other competitor registers for your weight division, are you willing to fight up on weight categories? Yes___ No___

This question is for masters only! If there are no competitor on 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 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

Medium____ Large____ Extra Large____ 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 before his or her first match. 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 it. You will be able to sign up the absolute division after your weight division bracket is concluded at the tournament.

Note: Absolute divisions will only happen if time permits. The "Adult Male Advanced Division" will only have one absolute class (open weight).

Note: Photo ID will be required as a proof of age in order to enter the Teen's & Master's divisions. If a competitor enter the wrong division he will NOT be able to change divisions at the day of the tournament and will be DQ, 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:

Northglenn Rec. Center
11801 Community Center Drive
Northglenn, CO 80233-1003 (
303) 450-8800 Number to Rec. Center.
Call RMBJJF at 888-847-8094 for tournament info.

Date and time: Saturday, July 21st- starting at 9:00 am.

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?_______________________________________

________________________________________________________________________________________













COLORADO STATE JIU JITSU 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 NORTHGLENN REC CENTER, THE COLORADO STATE JIU JITSU 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 JIU JITSU 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______________________