BJJAGB BRITISH NATIONAL JU JITSU CHAMPIONSHIPS

1st APRIL 2017 Start Time 9.00 am

STUDENT ENTRY FORM

VENUE: Walsall Sports Centre | Gorway Road | Walsall | WS1 3BD

Name of Club:

Name of Student:

Your BJJAGB Membership No:

Expiry Date:

Age on date of championship Junior / Senior Sex = Male or Female

Weight in kilos:

Grade on date of championship:

I WISH TO ENTER FOR THE FOLLOWING*: - (Please tick boxes)

*Please note: Students may enter a maximum of 3 events plus a pairs demonstration.

Pairs & Partner’s Name / Continuous fighting / Random Attack / Weapons Kata (brown belt and above) / Kata / Advanced Random Attack

£26.00 SENIORS (MANDATORY COMPETITION GI)

£26.00 Juniors

No Entrant below Green Belt for all categories. Minimum entry age 10. All those over age 50 will

automatically be placed in the Veterans for continuous and Randoms. No one who has competed

professionally in the last 6 months will be allowed to enter. All competitors must wear the BJJAGB

Badge on their Gi. No other martial art attire may be worn. NO JUDO Gi’s. Competitors in

Continuous fighting must not bring or wear their own belts.

They will be given red or white on the day.

Please ensure that all information is fully completed, as no entries will be accepted without all the

relevant info. All entries and monies must be submitted to your Association leader no later than:

15th MARCH

£26.00 SENIORS (MANDATORY COMPETITION GI) £26.00 Juniors

PLEASE NOW TICK THE BOXES BELOW TO ENSURE THAT ALL COMPETITORS ARE COMPLIANT

Continuous Fighting Checklist

Please Tick the boxes below:

I HAVE THE BJJAGB GLOVES
I HAVE THE COTTON SHIN AND INSTEP GUARDS
I HAVE MY GUM SHIELD
I HAVE SIGNED THE WAIVER FORM
I AM A BJJAGB MEMBER
I HAVE THE BJJAGB GI
I HAVE MY GROIN GUARD