GALO CARNAVAL

The 1st Brazilian Jiu-Jitsu Rooster

\1,000,000 award Championship

Registration Form

 

Please copy & paste this form to your E-mail, fill in each item, and send it to the organizer.

Please set the E-mail title as [Prize Tourney Entry]

Please feel free to ask.

E-mail: oga390@gmail.com

 

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WAIVER AND RELEASE OF LIABILITY AND AGREEMENT TO PARTICIPATE

I, ________________________ agree to the rules set forth by a tournament host and to compete with the qualities of good sportsmanship.

I hereby agree to participate knowing there is a risk for an injury, death and post-traumatic syndrome that happens during or after the tournament.

I also agree not to sue the tournament host, or any related organizations for an accident, injury, death, and post-traumatic syndrome that happened during or after the tournament.

I, hereby, agree to participate in the tournament at my own risk. I give up any rights to the tournament host for copyrights related to the tournament. I also agree to the public display of any personal information through brochures, official results, etc.

 

 

1) Name belt / age / height (cm) / weight (kg) /gym (can be anonymous) / short profile (rough OK)

example: Mikio Oga black/41/175/60/Oga Dojo/ 2007 CBJJ World Championship Black Belt Galo, 3rd Place; Wins 39, Losses 26

Note: Please don’t modify this format.

 

2) Instructor who recognized your belt.

3) Phone number (just in case).

4) If you have competitors you wish (not) to fight against, write his name. We consider.

5) Other notes for your convenience.

 

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・For inquiries

Mikio Oga

President of Oga dojo

182-0026 B1-101,2-56-3, Kojimacho, Chofu, Tokyo, Japan

E-mail: oga390@gmail.com

Phone：+81-50-3712-6154

Fax：+81-20-4624-2954

Mobile：+81-70-5081-0427

http://bjj-japanese-world-champion.jimdo.com/