|
| |
 |
|
|
|
|
|
Advanced BKJ's
Brazilian
Jiu-Jitsu Tournament
Pre-Registration
PRE-REGISTRATION
FORM (Deadline coming soon)
Fees:
Pre-Registration = $35 to compete in one event, $40 to compete in
everything (gi, no gi, etc)
Day of the event = 50$ to compete in one event, 55$ to
compete in everything (gi, no gi, etc)
Competitor's Name___________________ _________________
Male [ ] Female [ ]
Birth Date _____/_____/_____ Age _____
E-Mail______________________
Address__________________________________
Home Phone ( ) ____________________
City_________________ State______ Zip__________________
Belt Rank__________________
Martial Arts School___________________
Instructor___________________ Team_____________
Important Information
Please
fill out ALL of the above information and ALL of the events
that you plan on fighting in. Include these, along with your
waiver when mailing forms out. It is also very important to
email this information when using PayPal but your waiver still has to be
mailed or faxed.
|
MEN'S
ADULT NO-GI GRAPPLING DIVISIONS:
WEIGHT
CLASSES (Choose one):
|
|
_____
150 & Under (Flyweight)
_____
151-170.9 (Lightweight)
_____
171-190.9 (Middleweight)
_____
191-210.9 (Light Heavyweight)
_____
211 & Above (Heavyweight)
|
| |
| |
|
WOMEN’S
ADULT NO-GI GRAPPLING DIVISIONS:
WEIGHT
CLASSES (Choose one):
|
|
_____
135 & Under (Lightweight)
_____
136 & Over (Middleweight)
|
TEEN NO-GI
(Ages 15, 16, & 17):
Divide
Weights at the event
____
Approximate weight
ADULT
GI GRAPPLING DIVISIONS:
|
|
MEN’S
- WHITE BELT
|
|
_____
150 & Under (Flyweight)
_____
151-170.9 (Lightweight)
_____
171-190.9 (Middleweight)
_____
191-210.9 (Light Heavyweight)
_____
211 & Above (Heavyweight)
|
|
MEN’S
- BLUE BELT
|
|
_____
150 & Under (Flyweight)
_____
151-170.9 (Lightweight)
_____
171-190.9 (Middleweight)
_____
191-210.9 (Light Heavyweight)
_____
211 & Above (Heavyweight)
|
|
MEN’S
- PURPLE BELT & ABOVE
|
|
_____
150 & Under (Flyweight)
_____
151-170.9 (Lightweight)
_____
171-190.9 (Middleweight)
_____
191-210.9 (Light Heavyweight)
_____
211 & Above (Heavyweight)
|
|
Women's Skill Levels May Be Combined |
|
WOMEN’S
WHITE BELT DIVISIONS
|
|
_____
135 & Under (Lightweight)
_____
136 & Over (Middleweight)
|
|
|
Women's Skill Levels May Be Combined |
|
WOMEN’S
BLUE AND ABOVE BELT DIVISIONS
|
|
_____
135 & Under (Lightweight)
_____
136 & Over (Middleweight)
|
|
TEEN
GI DIVISIONS
(Ages 15, 16, & 17):
Divide
Weights at the event
|
|
____
Approximate weight
|
|
|
| |
|
Waiver Of Injury
I, (print name) ______________________________________,
the undersigned hereby release Advanced Boxing, Kickboxing, & jiu-Jitsu
(Advanced BKJ), Butch Hiles, and any and all other persons associated with this
event in any capacity, from any and all liability due to injuries that may incur
as a result of my attendance and/or participation at this event. Furthermore, I
hereby waive any compensation whatsoever for the use of pictures or video
production of myself, utilized by those associated with this event, for any
profit-making at anytime. I agree to indemnify, defend and hold
harmless all the above named parties from any liability. I clearly
understand that the fighting aspect of this sport and competition involves
bodily contact. Submission grappling is a very dangerous sport. The organization
sponsoring this training will not assume financial or other responsibilities for
injuries or illness suffered from or related to this competition, nor will they
be responsible for any loss to attendees as a result of damages of their person
or personal items through fire, theft or other causes. Injuries to joints, bones
and muscles are possible when you grapple in this type of competition. Serious
injuries are possible due to the nature of the activity. Grappling is an
extremely taxing sport, and by signing below you indicate that you are in
adequate physical condition to engage in this type of activity and accept
responsibility for injuries, etc. that may occur. I have read, understand
and agree to abide by the rules associated with the Advanced BKJ Jiu-Jitsu
Tournament and assume all responsibility and any associated liability for
infringement of such rules. Additionally, I am fully aware of my personal
medical condition and hereby certify that I am mentally and physically fit to
compete at the Advanced BKJ Jiu-Jitsu Tournament.
__________________________________________________
Competitors Signature Date
__________________________________________________
Signature of parent / guardian who assumes complete responsibility (if under
the age of 18)
Check or Money Orders Made Payable To: =
Butch Hiles
309 Redwood Drive
Charleston, WV 25302
Make sure you enclose ALL of the necessary information
Fax: 14198310444
Or Pay by PayPal:
|
|
|
| |
|
Hot News
NEW BJJ Location!!!
Hosted By:
Butch Hiles (highest ranking BJJ instructor in the area)
When: Monday & Wednesday's
at 7:00 PM
Where: North Charleston Community Center
2009 Seventh Avenue
Charleston, WV 25312
United States
CLICK
HERE

ABKJ Training Facility
ABKJ is NOT at the Ayash
Center.
A lot of our advertising still has our
old address on it but we are now in a new location and are in no way affiliated
with anyone at the Ayash Center
call ABKJ at
(304)549-9370
ABKJ's Newest World Champion - Mike
Sheppard!!!


Mike Sheppard traveled to Russia to
fight the ISKA WORLD title holder and came away with a stunning four round KO.
Mike Sheppard is now the new ISKA WORLD
kickboxing champion.
To read more about his title fight
click HERE.
Stay
up to Date
|
|
Recent News
Congrats to Jake O'brien on his UFC
win!!!


Read more HERE
Our very own, Jeremy Bates, to fight
Evander Holyfield


Watch it live on FOX!!!
More info HERE
Our Newest Champion

At only 19yrs of age, Jeremy Linville is
now the new Middleweight Warrior Fighting Challenge Champion and ABKJ's youngest
MMA Champion ever!!!
WV's Biggest BJJ and Sub. Wrestling
Tournament is a Huge Success!!!

Read
More HERE
Marcello Monteiro Seminar a Huge Success!!!

The seminar was a huge success and many
people were able to train with one of the best BJJ coaches around for the first
time.
Congrats to everyone who got promoted!!!
More
Details HERE
Don't get left behind. Stay up
to date
HERE
|
|