Name * First Name Last Name Date of Birth MM DD YYYY Contact Number * Emergency contact number * Email Address Rank / Experience * White Blue Purple Brown Black Intermediate Bracket Professional Super Fight Weight Class * --- Under 66 Kg Under 77 Kg Under 88 Kg Under 99 Kg Over 99 Kg Absolute Team Representing * I agree that Grappler's Club Official and all parties associated in hosting this tournament will not be held responsible incase of any injuries. * Agree Thank you for registering for the tournament. Our team will be in contact with you with updates!Click here to return to the previous page.