When

Saturday, April 28, 2018 from 9:00 AM to 5:00 PM EDT
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Where

Greenbrier East High School

273 SPARTAN LN
Lewisburg, WV 24901

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Contact

Dustin Ware
American Grappling Challenge
dustin@americangrapplingchallenge.com

AGC Presents: 2018 Mountain State Grappling Championships

* Required information

Personal Information

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  • Fee

    Type Fee
    $70.00
    $85.00
    $60.00
    $75.00

Youth Competitor Information

  • Youth Divisions

  • Youth Skill Level

  • I understand that ALL YOUTH & TEEN Brackets are made in advanced....and if my child weighs MORE THAN 5 lbs over the weight I listed above, that my child may be "DISQUALIFIED" from competing.

Adult Competitor Information

Please Read & Confirm

  • *

    I hereby waive all claims against the American Grappling Challenge LLC, Ohio Combat Sports Academy LLC, Greenbrier County Schools, or any and all other persons & sponsors associated with this event in any capacity, from any and all liability due to injuries that I may incur as a result of my attendance and/or participation at this event. I understand the rules of the event and will abide by them. I understand that I am participating in a sport that has body contact.

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    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 and hereby release the above stated event organizers and all of its employees and associates, and the event facility, from any type of injury, loss, or death sustained while participating in this event. I also state that I am in good mental and physical condition and know of no reason why I cannot participate in this event.

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    I have current and valid health/medical insurance. In case of an emergency, I authorize any licensed First Responder to perform any accepted medical procedure deemed necessary and I agree to bear the expense of any such treatment. I understand that I will not receive a REFUND for my online registration for ANY reason! I have read, understand and agree to abide by the rules associated with this event and assume all responsibility and any associated liability for infringement of such rules.

$9,999.99

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