Competitor Application

Registration for this event is closed.

Full Name (as shown on your ID)

City/State

Phone

Date of Birth

Gender

Competing Weight (lbs.)

Current Belt Rank

Years of Grappling Experience

Gym/Academy/Team Name

Match Allowing Heel Hooks? (Blue Belt and up / No Gi Only)

Match Allowing Knee Reaping? (Blue Belt and up / No Gi Only)

Match Allowing Smothering? (No Teens/Kids. No Gi Only.)

Match Preference

Your Instagram or Facebook Profile Link

Event Applying For?

Waiver Acknowledgement

(By checking this box I acknowledge that I have Read, understand, & agree to the waiver contents and intention to submit this application.