RANKED RANKED
September 20th 2008
2138 S. 61st Ct Cicero, IL 60804
Registrations and Weigh Ins start 8:00am competition starts @ 10:30am
CHILDREN COMPETE ON SUNDAY SEPTEMBER21ST
E-mail COMBATDO@AOL.COM
DEADLINE FOR PRE-REGISTRATION 9/15/2008
$55.00 for competitors $8.00 for Spectators after 9/15/2008
Pre-regristation Adults- $45.00
Pre-regristation Kids - $35.00
Spectator fee is $5.00
Trophies to all 1st Places Medals for 2nd, 3rd, 4th, and 5th.
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Name_______________________Phone____________D.O.B___________Age__ Address:______________________________City_____________State____Zip_ E-mail________________________________Team__________________________ MEN’S ADULT GRAPPLING DIVISIONS: Circle No-Gi Gi only Both Gi & No Gi _____Men’s Novice 6 months and under _______Fly weight 139 and under No wrestling experience _______Feather weight 140 to 149.9 _____Men’s Beginner 6 months to 1 year _______Light weight 150 to 159.9 _____Men’s Intermediate 1year to 3 years _______Welter weight 160 to 169.9 _____Men’s Advanced 3 years + _______Middle weight 170 to 179.9 _____Expert Over 5 years _______Light Heavy weight 180 to 189.9 _____Men’s Master Beginner Age 30-40 _______Cruiser weight 190 to 199.9 _____Men’s Masters Advanced Age 30-40 _______Heavy weight 200 to 224.9 _____Men’s Directors Age 40 + _______Super Heavy weight 225 + _____Men’s Executive Age 50 + WOMEN’S ADULT GRAPPLING DIVISIONS: Circle No-Gi Gi only Both _____Women’s Novice less than 6 months _____Fly weight 115 & Under _____Women’s Beginner less 1year exp _____Light weight 115.9 to 134.9 _____women’s Intermediate 1 to 3 years exp _____Middle weight 135 to 144.9 _____Women’s Advanced 3 years + _____Light Heavy 145 to 154.9 WOMEN’S ADULT GRAPPLING DIVISIONS CONTINUED: _____155 –164.9 _____165 –174.9 _____175 –184.9 ____185—194.9
TEEN’S GRAPPLING DIVISIONS (AGES 15 TO 17) Weight Classes Circle No Gi Gi Only Both Male____Female____ Age_____ _____Novice less than 6 months _____129 & Under No wrestling experience _____Beginner under 1 year exp _____130 to 149.9 No wrestling experience _____Intermediate 1 year to 3 years _____150 to 169.9 _____Advanced 3 years + _____170 to 199
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TEENS OVER 200 LBS WILL COMPETE WITH ADULTS. Please note we reserve the right to either subdivide or combine the above weight classes the day of the event depending on the turnout.
Please note if you placed 1st in a prior Combat-Do Event you must move up a skill level.
SCHOOL WITH THE MOST POINTS WILL RECEIVE A SPECIAL AWARD
WAIVER OF LIABILITY
In consideration of services to be received as a competitor on these premises, the undersigned herby releases and forever discharges the school, its heirs successors, administrators and assigns from any and all actions, cause of actions, liability, claims and demands upon or by reason of any damage, loss injury, or suffering known and unknown which may be sustained by ___________
On these premises, from the instructor or instructors, staff, official, or employees of this school or any fellow students on the premises in connection there with and within the course of taking training or competition for the purpose designed on this application, He/She herby waives all his/her rights to the claims, actions, and cause of action, demand or suit for loss injury, damage, of suffering sustained as a result of anything other than gross negligence on the part of this school. The undersigned assumes all the risks inherent and incident to this type of sports activities as a condition for competing to this school for the purpose Herein above stipulated.
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Signature of Applicant Date Signature of Parent, if applicant is under 18