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NLC Grappling Series Sign Up Form

First name(Required)

Last name(Required)

Email(Required)

Birthday(Required)

Month

Day

Year

Phone(Required)

Multi-line address

Country/Region(Required)

Address(Required)

City(Required)

Zip / Postal code(Required)

Gender(Required)

Male

Female

Height (Feet)(Required)

Height (Inches)(Required)

Weight (lbs)(Required)

Choose Your Weight Class(s)(Required)

Strawweight (115 lbs)

Flyweight (125 lbs)

Bantamweight (135 lbs)

Featherweight (145 lbs)

Lightweight (155 lbs)

Super Lightweight (175 lbs)

Welterweight (175 lbs)

Middleweight (185 lbs)

Super Middleweight (195 lbs)

Light Heavyweight (205 lbs)

Cruiserweight (225 lbs)

Heavyweight (265 lbs)

Super Heavyweight (266+ lbs)

High School Attended(Required)

University Attended

Gym/Team Name

Coach Name

Number of Years Training(Required)

BJJ Belt Level(Required)

White

Blue

Purple

Brown

Black

N/A

Wrestling History(Required)

High School

College

Professional

No Wrestling Background

MMA History(Required)

Amateur MMA

Professional MMA

No MMA Bouts

Grappling Accolades

Favorite Technique?

Social Media

Goals

Additional Information

Is there a specific event you would like to compete on?

How did you hear about us?(Required)

After submitting this, please send us a PM via Social Media letting us know you are ready to compete!

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