Gracie NJ Academy - Summer 2014 KIDS Intramural Championships

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Registration form for children ages 13 and under. Teenagers (14-17) please register using the adult/teen form.
Tournament will take place at Gracie New Jersey Academy on Saturday, July 12th.
Please arrive no later than 10:15am for child's check-in and weigh-ins.
Opening ceremony will start promptly at 10:30am and matches to follow immediately.

Child's First Name *

Child's Last Name *

Child's Age

Date of Birth *

YYYY

Academy's Name *

Rank (Belt + Stripes) *

Training for how long? *

Weight *

Approximate weight. Official weigh in is from 10:15 to 10:30am. Children will be divided at the closest age, weight and rank.

Height *

Parent/Guardian's Name *

Phone Number *

Email Address *

I have read and understand the legal terms and conditions of Gracie New Jersey Academy's "STUDENT WAIVER/ RELEASE/ ASSUMPTION OF LIABILITY AND USE OF IMAGE" *

Document available for review at: https://docs.google.com/document/d/1RREN5qOkV2BZUONbR6adsgKOGY9mnGYEkGl2eUeBNHw/pub

I am the parent/guardian of a child under 18 years old and would like to request a parental consent form. I understand that I must accompany my child and bring this form filled out on the day of the activity or I will promptly fill one out prior to my child taking part at the activities.

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