U.S. Capitol Classics

Please enter quantity:	Description	Price (each)
DIVISION ENTERIES
	1st Division - $55.00 ea	$
	Additional Divisions - $25 ea	$
	Teams - $100 ea team	$
FRIDAY NIGHT SPECTATOR TICKETS
	Spectator Tickets - $10 ea	$
SUNDAY SPECTATOR TICKETS
	Spectator Tickets - $10 ea	$
SATURDAY ELIMINATION AND FINALS TICKETS
	General Admission - $25 ea	$
	Reserved Rows - $35 ea	$
	Ringside - $55 ea	$
	VIP - $100 ea	$

DVD PURCHASE
	U.S. Capitol Classics 2004 - $19.95 ea	$
	U.S. Capitol Classics 2005 - $19.95 ea	$
	U.S. Capitol Classics 2006 - $19.95 ea	$
Total		$

COMPETITORS INFORMATION
Last Name: First Name:
Address:
City: State: Zip:
Age: Gender: Belt Color: E-mail:

PAYMENT INFORMATION
Name on card: Card Type: Card Number: Exp Date: / Contact Phone: CSV Number:

SCHOOL INFORMATION
School Name: School E-mail:
City: State: Zip:

DIVISION ENTRY (NOT TEAMS) Divisions: USCC/NASKA Black Belt \| USCC/NASKA Under Belt \| Chinese Open \| Sport Jujitsu \| Teams
PLEASE ENTER DIVISION CODES BELOW SEPERATED BY A SEMICOLON ";"
Divisions

TEAMS ENTRY ONLY
Divisions: Teams PLEASE ENTER DIVISION CODES
Team Division Team Name
Team Member Names
1.
2.
3.
4.
Team Representative
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Team Division Team Name
Team Member Names
1.
2.
3.
4.
Team Representative
-----------------------------------------------------------------------------------------
Team Division Team Name
Team Member Names
1.
2.
3.
4.
Team Representative
-----------------------------------------------------------------------------------------
Team Division Team Name
Team Member Names
1.
2.
3.
4.
Team Representative

EVENT REGISTRATION