Waitlist
Email *
Full Name (As displayed on your Membership ID. No caps lock please) *
Birth date (xx / xx / xxxx format) *
Membership number (This will need to be renewed before the competition)
Gender *
Raw / Equipped *
Division *
Weight Class Female (select N/A if doesn't apply) *
Weight class male ( Select N/A if doesn't apply) *
Do you plan on doing a second division? *
Second Division ( Select N/A if doesn't apply) *
Email address *
State you are registered in *
Shirt size
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Phone number for text (optional)
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