IN HOUSE JIU-JITSU GI TOURNAMENT

JANUARY 28 2012

January 28nd 2012 BJJ Revolution Team In-House Jiu-jitsu Tournament ***COMPETITORS ONLY NO SPECTATORS ALLOWED*** We do not have room in our Academy for anything other than competitors so no friends, no family, no significant others and no kids. COMPETITORS ONLY, LETS GET TO WORK TEAM!!!
We will be holding this tournament as a TESTING GROUND for many of you that are planning to compete in the IBJJF Houston Open Tournament (Feb. 11th-12th) and the Louisiana State Tournament (Mar.3rd). Do not miss this CHEAP opportunity to compete and sharpen your blade against other training partners from our Academy and from our BJJ Revolution Team Brother Academies in the Area (i.e. LA Boxing, BlackList, Cajun Karate, Alexandria BJJ, Ohana and La Rose BJJ) I expect all instructors to bring their top competitors as myself, Rodrigo Medeiros and Julio Fernandez will be in attendance.

MASTER TIM CREDEURS BROWN BELT SUPERFIGHTS

John Jordan (3rd Place Mundial Purple Belt 2009) Vs. Josh Mancuso (2011 US National Champion Purple Belt) Josh Artigue (Judo Ninja Master) Vs. Derrick Breaux (Deep Swamp Jiu-Jitsu Master)

THE PURPLE BELT DIVISION WILL BE CONTESTED AS AN ABSOLUTE DIVISION WITH DOUBLE ELIMINATION RULES IN EFFECT UNTIL THE FINALS. WHITE BELT AND BLUE BELT DIVSIONS WILL FOLLOW 6 WEIGHT CLASSES

Featherweight(140 & Below), Lightweight(141 155), Welterweight(156170), Middleweight(171-185), Light Heavyweight(186-205), Heavyweight(206 & Up) WOMENS DIVISIONS Featherweight (120 & Below), Lightweight (120 & Above) Please turn in this sheet with your name and weight to the Front Desk at Gladiators Lafayette on or before 1/28/2012 with your $35 Entrance Fee. Tournament Rules Meeting begins at 10 AM and Registration closes. Please call Gladiators Lafayette for more info at (337)504-2730.

Gladiators Academy of Lafayette 101 N Bud St. Scott, LA 70583

Tournament Format Brackets: Modified Double Elimination for Purple Belt Division Only , Single Elimination for White and Blue Belt Divisions

Match Times: White Belt 5 minutes, Blue Belt 6 minutes, Purple Belt 7 minutes, Brown Belt 8 minutes Rules: International Brazilian Jiu-Jitsu Federation Rules Schedule of Events 9:00 AM 10:00 AM Adults Weigh ins 10:00 AM Adult Rules Meeting 10:30 AM - Adult Matches Begin

Registration Form

Name: ________________________________________________ If Minor Parents Name: ________________________________________ Address: ___________________________________ Apt. #:______________ City: __________________________State: ________ ZIP:_______________ Email: ________________________________________________ Phone: (_____) ______ - ________ Team: __________________________________________________________ A complete listing of rules and event schedule can be found at www.ibjjf.com CHECK THE BOX BELOW YOUR RANK AND WIEGHT Adult Brackets will be combined as necessary. RANK Womens Division Please Check Here White Blue Purple WIEGHT CLASSES
Featherweight 140 & Below

Lightweight
141 - 155

Welterweight
156 - 170

Middleweight
171 - 185

Light Heavyweight
186 - 205

Heavyweight
206 - UP

WIEGHT

TOURNAMENT RELEASE AND WAIVER (Please read completely before signing) For competitors under 18 years of age, this must be signed by a
parent or legal guardian I, the undersigned, hereby waive all claims against any and all persons associated with any of
the participating schools and competitors. I understand the rules of the tournament and will abide by them. I understand that I am participating in a sport that 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 the event organizers and all of its employees and associates, tournament sponsors, and the event facility, 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. 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 parties and I waive any compensation thereof. I, the undersigned, have read the release above and the rules of the tournament and agree to all of its terms and sign below to complete this form:

Signed: _________________Print Name: __________________Date: _________