Dojo Rumble
Date: Saturday, Oct. 19th 2019 8:00 a.m.

Location: American Judo and Jiu-Jitsu Academy
3208 Mill St. Summerville, SC 29485

Tournament Director: Elijah Fletcher
Phone number: 501-844-1883
Email: elijahfletch@gmail.com

Email address *
Competitor's First Name *
Your answer
Competitor's Last Name *
Your answer
Parent or Guardian's Name - If competitor is a minor
Your answer
Phone Number (registration confirmation only) *
Your answer
Club Name
Your answer
Coach's Name
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Please select one of the following age divisions. All players are limited to a single division. Divisions may be combined at the discretion of the tournament director. *
Weight in pounds - Each age division will be divided into light and heavy divisions. Weights will be verified at registration.
Your answer
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