REGISTRATION


Please fill out the registration form below, and then press the SEND button.  Then continue and make your payment to complete the registration process.

First Name (required)

Last Name (required)

Your Email (required)

Your Phone (required)

Street (required)

City (required)

State Or Province (required)

Postal / Zip Code (required)

Gender (required)

Age (required)

Weight (required)

Belt Colour or Rank (required)

Competition Experience (required)

List all divisions you are entering. cost is $69 for 1st division and $25 for EACH additional division.
 BJJ-GI BJJ-NO GI WKC Continous Sparring MMA

Home Club Name (required)

Additional Comments

Please pess the SEND button to submit your registration.  Now complete your registration by making a secure payment through Pay Pal on the link below.

Division Registration Fees
List Divisions entered