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June 26 , 2010

RENZO GRACIE INVITATIONAL Hunter College

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68 street &
Gi Tournament Registration Form Lexington Ave
New York, NY
**There will be no walk in registration to prevent delays and
complications. Make sure to sign-up before hand.

Name: ______________________________ Phone: ____________________

Address: ________________________________________________________
City: _________________________ State: _______ Zip: _______________
E-mail: _______________________ D.O.B.: ____________________________
Academy: __________________________

The athlete will weigh in with his gi on before his first match. If the athlete does not make weight,
he will be disqualified and will not be refunded.
Weight divisions include the gi. (ex. An adult featherweight can weigh up to 154lbs with his gi on)
Men’s White Belt – Novice Men’s White Belt Men’s Blue Belt
(up to 6 months of training) (6 months of training and over)

____ Super Feather (141lbs & under) ____ Super Feather (141lbs & under) ____ Super Feather (141lbs & under)
____ Feather (141.5 – 154lbs) ____ Feather (141.5 – 154lbs) ____ Feather (141.5 – 154lbs)
____ Light (154.5 – 167.5lbs) ____ Light (154.5 – 167.5lbs) ____ Light (154.5 – 167.5lbs)
____ Middle (168 – 181 lbs) ____ Middle (168 – 181 lbs) ____ Middle (168 – 181 lbs)
____ Medium Heavy (181.5 – 194.5lbs) ____ Medium Heavy (181.5 – 194.5lbs) ____ Medium Heavy (181.5 – 194.5lbs)
____ Heavy (195 – 207.5 lbs) ____ Heavy (195 – 207.5 lbs) ____ Heavy (195 – 207.5 lbs)
____ Super Heavy (208 – 221 lbs) ____ Super Heavy (208 – 221 lbs) ____ Super Heavy (208 – 221 lbs)
____ Super Super Heavy (221.5 lbs & up) ____ Super Super Heavy (221.5 lbs & up) ____ Super Super Heavy (221.5 lbs & up)
____ Absolute

Men’s Master White Belt Men’s Executive White Belt Men’s Master Blue Belt
(30 – 40 years old) (41 – 50 years old) (30 – 40 years old)

____ Lightweight (167.5 lbs and under) ____ Lightweight (167.5 lbs and under) ____ Lightweight (167.5 lbs and under)
____ Middleweight (168 – 194.5lbs) ____ Middleweight (168 – 194.5lbs) ____ Middleweight (168 – 194.5lbs)
____ Heavyweight (195 & over) ____ Heavyweight (195 & over) ____ Heavyweight (195 & over)

Men’s Executive Blue Belt Teens (15-17years old) Men’s Purple Belt
(41 – 50 years old) *White Belts Only

___ Feather (129 lbs and under) ____ Lightweight (167.5 lbs and under)
____ Lightweight (167.5 lbs and under) ___ Lightweight (129.5 – 150lbs) ____ Middleweight (168 – 194 lbs)
____ Middleweight (168 – 194.5lbs) ___ Middleweight (150.5 – 170lbs) ____ Heavyweight (194.5lbs & over)
____ Heavyweight (195 & over) ___ Medium Heavy (170.5 – 190lbs) ____ Absolute
___ Heavyweight (190.5 and over)

Men’s Brown and Black Women’s White Belt Women’s Blue Belt Women’s Purple, Brown and
(competing together) Black (competing together)

___ Lightweight (167.5 lbs and under) ___ Feather (118 lbs and under) ___ Feather (118 lbs and under)
___ Middleweight (168 – 194.5lbs) ___ Lightweight (118.5 – 136 lbs) ___ Lightweight (118.5 – 136 lbs) ___ Lightweight (136lbs and under)
___ Heavyweight (195 lbs & over) ___ Middleweight (136.5 – 152 lbs) ___ Middleweight (136.5 – 152 lbs) ___ Middleweight (136.5 – and over)
___ Absolute ___ Medium Heavy (152.5lbs & over) ___ Medium Heavy (152.5lbs & over)

Register at your own school or send this form with Registration Fee: $80
check or money order payable to: Renzo Gracie
Renzo Gracie Academy
Registration Deadline: June 21st, 2010.
224 W. 30th street #0100 All competitors receive a FREE T-shirt
New York, NY 10001
WAIVER RELEASE AND ASSUMPTION OF RISK Please read carefully. This document affects your legal rights.
PRINT NAME AT TOP, SIGN AT BOTTOM.

I, _________________________________________ do hereby submit my application for competing in the Renzo Gracie Invitational. I
hereby assume full responsibility and liability for all damages, injuries and losses that I may sustain or incur while participating in any
competition. I realize that serious injury is commonplace in martial arts training and competition such as Brazilian Jiu-Jitsu; and that even
death is a very real possibility. I also realize that if I am injured, I might be disfigured, disabled and/or rendered unable to work again. I
realize that regardless of how this consequences might occur - whether it be the result of another student’s and/or instructors’ actions or
inaction, the condition of the mats used, the conduct of a non-participant or some other reason - By entering into this agreement I accept the
risk of competing in Brazilian Jiu-Jitsu. I hereby waive all claims I or anyone acting on my behalf or through me might have against the
Renzo Gracie Jiu-Jitsu Association, RZ FORCE LLC, Renzo Gracie, affiliated schools, instructors, and their agents, employees and
representatives for any injury regardless of its nature, effect or affect on me as a result of competing in Brazilian Jiu-Jitsu. I represent that I
am in good health; that no one affiliated with this association has encouraged me to join or made any representations regarding my fitness or
ability to participate; that I have read and understood every provision of this release; and that I am legally competent to and freely enter into
this waiver, release and assumption of risk agreement.

___________________________________________________________
SIGNATURE DATE

I, ______________________________, hereby that I am Parent or legal guardian of the above named minor; that I have read and understood
every provision of this release; and that I am legally competent to and freely enter into this waiver, release and assumption of risk agreement
on behalf of the minor and myself.

_____________________________________________________________
SIGNATURE OF PARENT OR LEGAL GUARDIAN DATE

RULES AND INFORMATION:

Match Durations: Adult Division Teens, Masters, Executives and Women’s:
White Belts 5 minutes
Blue Belts 6 minutes All belts 5 minutes
Purple Belts 7 minutes
Brown and Black Belt 8 minutes
Score System: The competitor must hold the position for 3 seconds, if he can’t
Throws and/or Takedowns 2 points establish the position an advantage will awarded instead of the points.
Knee on stomach 2 points The competitor can win the match by submission, points, advantage or
referee’s decision.
Sweeps (from guard or half guard) 2 points
Guard passing 3 points
Mount position 4 points
Back Mount and/or Back Grab 4 points

Illegal Techniques in all divisions:

HEEL HOOKS OR TWISTING KNEE LOCKS OF ANY KIND, STRIKING OF ANY KIND, BITING, HAIR PULLING OR EYE-GAUGING.
SLAMMING OF ANY KIND, CERVICAL NECK CRANKS OF ANY KIND.
Illegal Techniques for teens (ages 15-17):
SLAMING FROM THE GUARD, LEG LOCKS ANY KIND, CERVICAL, NECK CRANKS, BICEPS LOCK (i.e., BICEP SLICERS), CALF LOCK
(i.e., KNEE SPREADERS), WRIST LOCK, MATA LEAO WITH FOOT (i.e., FIGURE-FOUR TOE-HOLDS), SCISSORS TAKEDOWNS AND
HEEL HOOK.
Illegal Techniques for Adults (White, Blue and Purple Belts), Women, Masters and Executive (White e Blue Belts):
SLAMMING FROM THE GUARD, CERVICAL NECK CRANKS, SCISSOR TAKEDOWNS, HEEL HOOKS OR OTHER TWISTING KNEE
LOCKS. BICEPS LOCKS (i.e., BICEP SLICERS), CALF LOCKS (i.e., KNEE SPREADERS). KNEE BARS AND MATA LEAO WITH FOOT (i.e.,
FIGURE-FOUR TOE-HOLDS).
Illegal Techniques for Brown and Black Belts:
SLAMMING FROM THE GUARD
CERVICAL NECK CRANKS
SCISSOR TAKEDOWNS
HEEL HOOKS OR OTHER TWISTING KNEE LOCKS
For any additional information go to www.renzogracie.com/invitational
or send an e-mail to: invitational@renzogracie.com