World Grappling Games : Event Registration

Registration

To register for the Quest for the Best 2011 on September 16th & 17th, 2011 held at Las Vegas Convention Center fill out the form below. Click the link directly below to register for.

Registration

Quest for the Best Championships Registration Form
September 16th & 17th, 2011 held at Las Vegas Convention Center.
Pre-Registration ends Tuesday, September 13th, 2011. Domestic mailed registration must be postmarked by Monday, September 12th, 2011.

3 Registration options:
1: Proceed with online registration and pay by Credit Card or Paypal Now

2: Proceed with online registration and pay at door. A Extra $15 at door processing fee

3: Complete Registration Form and Mail with check or money order to:
World Grappling Games
5402 Commercial Drive
Huntington Beach, CA 92649

Contestant Contact Info

First Name:
Last Name:
Email Address:
Address:
City:
State:
Zip/Postal Code:
Country:
Phone Number:
Cell Phone Number:

Payment Information

Payment Method:	Credit Card Now At Door
Name on Credit Card (If paying by Credit Card):

Emergency Contact Name

Emergency Contact Name:
Emergency Phone Number:

Tournament Division Options

Gender:
Age:	Weight:	lbs.
Judo Belt:
Wrestling:
BJJ Belt:
Grappling Level:
Pankration Level:

Academy Information

Academy Name:
Academy Phone Number:
Instructor Name:

Division Sign Up

Event Selection:
Division:

Disclaimer and Signatures

By checking the check box below, I understand the rules of the tournament and will abide by them. I understand that I am participating in a sport, which usually has body contact. I assume full responsibility for all of my actions during and connected to the above tournament. I understand the risk of competing in this form of Martial Arts competition and hereby release Management, Sponsors, World Grappling Games, Grappling Tournament Association and all of its employees and associates, tournament sponsors, venue, and or USA Grappling, from any type of injury, loss, or death sustained while competing in this competition.  I, the undersigned also state that I am in good physical condition and know of no reason why I cannot participate in this Martial Arts event. I have current and valid health insurance. Divisions or weight classes are subject to change. I understand that the World Grappling Games does not offer refunds. In case of an emergency, I hereby authorize any licensed medical personnel to perform any accepted medical procedure deemed necessary and I agree to bear the expense of any such treatment.  I also agree that my attendance and/or performance at the tournament may be photographed, filmed, or taped and used by any schools, World Grappling Games, Grappling Tournament Association, USA Grappling, Wacked Media and/or OntheMat and I waive any compensation thereof. I, the undersigned, have read the rules and the release above and agree to all of its terms and sign below to complete this form:

I Agree
Signature (REQUIRED FIELD Enter your name or if you are under 18 Parent or Guardian must enter theirs.):		Date: