Sample BJJ Tournament Form Sample Form -- 2016 Taiwan International BJJ / No-Gi Championship Sample Form -- 2016 Taiwan International BJJ / No-Gi Championship Please fill out this form to register for the 2016 Taiwan International BJJ / No-Gi Championship. The registration fee is NON-REFUNDABLE. If you encounter any problems, please send an email to tournament@taiwanbjj.org. Time 121234567891011 : 0030 AMPM First Name 姓名(請填英文) * Last Name 姓氏(請填英文) * Chinese or Japanese name (if any) 中文姓名/日本語名 Enter your Chinese or Japanese name, if you have one. 請輸入您的中文或日語名字. Gender 性別 * Male Female Email Address 電子郵件信箱 * Phone Number 聯絡電話 * Address 地址 * City 城市 * Country 國家 * AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCôte d‘IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayNorthern Mariana IslandsOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Emergency Contact Person 緊急聯絡人 * Person to contact in case of an emergency. Emergency Contact Number 緊急聯絡人電話 * Contact telephone number to call in case of an emergency. Academy Name 所屬武館 Other大安MMAALAVANCAArete BJJBangkok Fight LabBJJ BorneoBJJ Philippines Team FabricioBJJ SingaporeBON SAI Jiu-Jitsu TaiwanClub BarbarianDuro GymDanimal BJJ / KaohsiungDanimal BJJ / TainanEMACEPIC MMAEquilibrium MMAEscobar BJJEVOLVE MMAFPBJJO Ivan Sakamoto TeamGracie Barra Hong KongGRIPSHis Chih City DojoHong Kong Jiu-JitsuHsinchu BJJI Fighting Martial FitnessIMPACT MMAINSEAD Fighting SalamandersJuggernaut Fight ClubKowloon BJJKylin BJJMacau BJJMartial Armour MMA & FitnessNew Taipei City Aikido JiujitsuNEX SportsNova UniãoNova União JapanO3 FitnessOver Limit BJJParaestra Higashi OsakaParaestra KasaiPMA Brazilian Jiu-JitsuPUREBREAD GuamQ23 Academy ATT ThailandRB AcademySaigon Jiu-JitsuSaigon Luta LivreShanghai BJJShuraba MMAStreit BJJStudio 23Suita Jiu-JitsuSuto AcademySYNERGY BJJSZ-Wan Sheng MMATaichung Muay ThaiTaidong MMATaiwan BJJTaiwan BJJ KeelungTaiwan BJJ TaichungTeam CHOCOTeam LINKThe Paraestra OkinawaTMMATRI-FORCE Jiu-Jitsu AcademyTrust Jiu-JitsuVERSUS PERFORMANCEViscaWaka Jiu-JitsuWK HEARTSYoseikan Carlos Toyota Please select the academy or school you train at. If your academy is not listed, please select "Other" from the list and then provide the name in the next field. If your academy is not listed above fill in the name here 如果上述表列沒有您的武館名子請在這裡填入 If your school or academy name is not listed in the previous drop down menu, please select "Other" from the list and fill in your school or academy name here. Belt Rank (or equivalent) 柔術級別 * Please choose 請選擇Kids & Juvenile 兒童&青少年 -- White 白帶Kids & Juvenile 兒童&青少年 -- Grey 灰帶Kids & Juvenile 兒童&青少年 -- Yellow 黃帶Kids & Juvenile 兒童&青少年 -- Orange 橘帶Kids & Juvenile 兒童&青少年 -- Green 綠帶White 白帶Blue 藍帶Purple 紫帶Brown 棕帶Black 黑帶 Age Category 參賽年齡屬 * Please choose 請選擇Kids BJJ - Mighty Mite (6 years old or younger) 少年1組Kids BJJ - Pee Wee (7-9 years old) 少年2組Kids BJJ - Junior (10-12 years old) 少年3組Kids BJJ - Teen (13-15 years old) 少年4組Juvenile (16-17 years old) 青少年Adult (18-29 years old) 成人Master 1 (30-34 years old) 壯年1Master 2 (35 years old or older) 壯年2 Please indicate the age category you would like to compete in. Registration Category 報名賽事類別 * Please choose 請選擇 0Kids BJJ - Mighty Mite 少年1Kids BJJ - Pee Wee 少年2Kids BJJ - Junior 少年3Kids BJJ - Teen 少年4Juvenile - Gi only (7/23) 青少年道袍Juvenile - No-gi only (7/24) 青少無道袍Juvenile - Gi and No-gi 青少年道袍&無道袍Adult/Master 1&2 - Gi only (7/23) 成年/壯年1&2道袍Adult/Master 1&2 - No-gi only (7/24) 成年/壯年1&2無道袍Adult/Master 1&2 - Gi and No-gi 成年/壯年1&2道袍&無道袍 Please select the event you would like to register for. Open Category 無差別賽事 * No 否Yes, Gi only 是,道袍 (+NT$300)Yes, No-Gi only 是.無道袍 (+NT$300)Yes, Gi & No-Gi 是,道袍&無道袍 (+NT$600) Will you be competing in the Open category for Gi and/or No-Gi? Kids BJJ Gi Weight (Might Mite) 兒童巴西柔術量級 (少年1) Please choose 請選擇22kg and below22.1 - 28kg28.1 - 34kg34.1kg and above Kids BJJ Gi Weight (Pee Wee) 兒童巴西柔術量級 (少年2) Please choose 請選擇30kg and below30.1 - 36kg36.1 - 42kg42.1kg and above Kids BJJ Gi Weight (Junior) 兒童巴西柔術量級 (少年3) Please choose 請選擇40kg and below40.1 - 48kg48.1 - 56kg56.1kg and above Kids BJJ Gi Weight (Teen) 兒童巴西柔術量級 (少年4) Please choose 請選擇52kg and below52.1 - 60kg60.1 - 69kg69.1kg and above Gi Weight (Juvenile – Male) 青少年男子組量級 N/A53.5kg and under53.6 - 58.5kg58.6 - 64.0kg64.1 - 69.0kg69.1 - 74.0kg74.1 - 79.3kg79.4 - 84.3kg84.4 - 89.3kg89.4kg and above Please select your category weight. For juvenile males only. Weigh-in with competition gear on. Gi Weight (Juvenile – Female) 青少年女子組量級 N/A48.3kg and under48.4 - 52.5kg52.3 - 56.5kg56.6 - 60.5kg60.6 - 65.0kg65.1kg and above Please select your gi weight category. For juvenile females only. Weigh-in with competition gear. Gi Weight (Adult/Master 1&2 – Male) 成人/壯年1&2男子組量級 N/ARooster -- 57.5kg and underLight Feather-- 57.6 - 64kgFeather -- 64.1 - 70kgLight -- 70.1 - 76kgMiddle -- 76.1 - 82.3kgMedium Heavy -- 82.4 - 88.3kgHeavy -- 88.4 - 94.3kgSuper Heavy -- 94.4 - 100.5kgUltra Heavy -- 100.6kg and above Please indicate the gi weight category you want to compete in. Weigh-ins will be done with competition gear on. For Adult/Master 1, 2 males only. Gi Weight (Adult/Master 1&2 – Female) 成人/壯年1&2女子組量級 N/ARooster -- 48.5kg and underLight Feather -- 48.6 - 53.5kgFeather -- 53.6 - 58.5kgLight -- 58.6 - 64.0kgMiddle -- 64.1 - 69.0kgMedium Heavy -- 69.1 - 74.0kgHeavy -- 74.1 - 79.3kgSuper Heavy -- 79.4kg and above Please indicate the gi weight category you want to compete in. Weigh-ins will be done with competition gear on. For Adult/Master 1, 2 females only. No-Gi Level 無道袍巴西柔術級別 N/ABeginner (BJJ white belt or less than 2 years of no-gi grappling experience) 初級 (巴西柔術白帶或是無道袍兩年以下經驗)Advanced (BJJ blue belt or less than 5 years of no-gi grappling experience) 高級 (巴西柔術藍帶或是無道袍五年以下經驗)Elite (BJJ purple belt or above or more than 5 years of no-gi grappling experience) 精英級 (巴西柔術紫帶以上或是無道袍五年以上經驗) No-Gi Weight (Juvenile – Male) 無道袍巴西柔術 - 青少年男子組量級 N/A59kg and under59.1 - 69kg69.1kg and above No-Gi Weight (Juvenile – Female) 無道袍巴西柔術 - 青少年女子組量級 N/A48kg and under48.1 - 56kg56.1kg and above No-Gi Weight (Adult/Master 1&2 – Male) 無道袍巴西柔術 - 成人/壯年1&2男子組量級 N/A63kg and under63.1 - 70kg70.1 - 77kg77.1 - 88kg88.1kg and above No-Gi Weight (Adult/Master 1&2 – Female) 無道袍巴西柔術 - 成人/壯年1&2女子組量級 N/A58kg and under58.1 - 68kg68.1kg and above Registration Fee Total (NT$) 總繳金額 Registration fees are waived for Black Belts. Terms of Event 條款確認 * Yes, I have read and agree to the Terms and Conditions of this event. Terms and Conditions reCAPTCHA After clicking "Submit" you will be redirected to PayPal for payment processing. You can pay via credit card or a PayPay account. After paying, please click on the link going back to this site (亞洲巴柔有限公司 Asia Brazilian Jiu-Jitsu Limited Company).