2007 PHILIPPINE INTERNATIONAL SUBMISSION GRAPPLING CHALLENGE

Start time 10am, December 2
Entries close 29 November
Weigh in before your first match

Please fill in all fields including the contact numbers.

Name:					   Email:

Age:					    Phone:

Birth date:				Weight:

Belt/Experience :        				

Emergency contact (number & name) :

Team:         				Affiliation:   				
Team Address:

Place an X mark to choose your division:

	 Basic Division Under 24 months Grappling experience or white belt in BJJ 
	[  ] Men's below 62 kg Basic Division
	[  ] Men's 62.1-69kg Basic Division
	[  ] Men's 69.1-76kg Basic Division
	[  ] Men's 76.1-85kg Basic Division
	[  ] Men's 85.1-95kg Basic Division
	[  ] Men's 95.1kg and over Basic Division
	[  ] Basic Absolute 
 
	Intermediate Division between 24-48 months Grappling experience or Blue belt in BJJ
	[  ] Men's below 69kg Intermediate Division
	[  ] Men's 69.1-76kg Intermediate Division
	[  ] Men's 76.1-85kg Intermediate Division
	[  ] Men's 85.1kg and over Intermediate Division
	[  ] Intermediate Absolute

	Advanced Division over 48 months Grappling experience or  purple / brown belt in BJJ
	[  ] Men's under 76 kg Advanced Division
	[  ] Men's over 76.1 kg Advanced Division
	[  ] Advanced Absolute 

	Masters Divisions
	[  ] Men's Masters' below 76 kg (+35 years old) 
	[  ] Men's Masters' 76.1 kg and over (+35 years old) 

     Women's Division 
	[  ] Women's -55.0 kg 
	[  ] Women's +55.1 kg 

	Junior Divisions 15 -19 years of age
	[  ] Juniors below 59 kg (15 to 19 years old) 
	[  ] Juniors 59.1 - 66kg (15 to 19 years old) 
	[  ] Juniors 66.1 and over (15 to 19 years old) 

	
Please fill in all fields including the contact numbers.
Your entry will be confirmed, any further details regarding your entry will be made by email.

Local Entries must be paid in full before the day of the competition.
Entry cost :PHP 695 (10% discount if paid before November 22)

Overseas competitors can pay on the day of the competition.


Please Email this form to:
entry@bjjphilippines.com with "no gi entry" in the subject line
Thank you for your entry

BJJ Admin