California Association of Pankration Athlima: Camp Pendleton Invitational Pankration Championships

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Camp Pendleton Invitational Pankration Championships

WALK IN REGISTRATIONS DURING WEIGH IN WILL BE ACCEPTED FOR ALL YOUTH DIVISIONS, WOMEN'S DIVISIONS AND MEN'S 205LBS AND HEAVYWEIGHT DIVISIONS UNTIL THEY REACH CAPACITY.

CHECK WWW.FIGHTLEAGUE.ORG (EVENTS) FOR WEIGH IN LOCATIONS AND TIMES.

DATE: Feb. 26, 2011 LOCATION: 62 area fitness center, Marine Corps Base, Camp Pendleton
Entry Fee:
$45 Civilians and Dependants
$5 Active Duty, Retired and Drilling Reservists of the Armed Forces
(Must Show Active Military ID at Weigh in. No exceptions)

All competitors must weigh in: Either Feb 25th or Feb 26th. See tournament information page for weigh in locations and times. No late Weigh Ins accepted.

Professionals with 2 or more victories may not participate.

Event Date
February 26, 2011

Registration Deadline
February 25, 2011 10:00am [Pacific Time]

Venue

62 Area
Marine Corps Base
Camp Pendleton, CA

Directions:
Exit Basilone Rd from I-5. Proceed east to the Military Gate and enter base. Stay on Basilone Rd for 3 miles and turn left onto San Mateo Rd (Fire Station on the Right Side of the road). Proceed on San Mateo Rd for 3 miles and turn left onto 6th street ( Big Flag pole). Go down the hill to the gymnasium.
**To drive on base you must show drivers license, vehicle registration and proof of insurance. All vehicles are subject to search**

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INFO:    The registrants will each be notified by email (at the email address you entered) to complete their registrations, including agreeing to terms and conditions and payment, if applicable. Their individual fee has already been determined based on their individual registration fee as well as an equal distribution of any group level registration fees, surcharges, or discounts.

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62 Area
Marine Corps Base
Camp Pendleton, CA

Directions:
Exit Basilone Rd from I-5. Proceed east to the Military Gate and enter base. Stay on Basilone Rd for 3 miles and turn left onto San Mateo Rd (Fire Station on the Right Side of the road). Proceed on San Mateo Rd for 3 miles and turn left onto 6th street ( Big Flag pole). Go down the hill to the gymnasium.
**To drive on base you must show drivers license, vehicle registration and proof of insurance. All vehicles are subject to search**

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Billing and payment processing for Businesses' events is performed by Member Solutions, Inc. ("MSI"), and this contract is specifically assigned to MSI for all such purposes. Customer knowingly and irrevocably authorizes MSI to charge electronically Customer's bank account and/or credit card for any and all amounts due for Customer's, and anyone registering under Customer's, attendance and participation in the Event. Please note, you may see all or any portion of the following on your bank or credit card statement: "MSI*SOCALPANKRATION 8882448044 ONLINE REG FEE". Any returned payment will be assessed a $25.00 fee. Any unsuccessful electronic transaction is subject to a $10.00 processing fee. MSI is not responsible for any bank fees incurred by Customer. MSI has the sole right to resubmit returned or declined items (plus applicable fees) without prior notice. BILLING INQUIRIES -- 888-244-8044 or by mail to PO Box 297, Hatboro, PA 19040.

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I represent that I am the person who appears on the application above. I acknowledge and agree to the statements, terms and conditions above, as well as any applicable terms and conditions for this registration, and that by typing my name below and completing this registration form, I am electronically signing the document, which will have the same legal effect as the execution of the document by a written signature and shall be valid evidence of my intent and agreement to be bound.

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Registration inquiries:
Amateur Pankration League
PO Box 451
Lake Forest, CA 92630

Email: jfrank128@cox.net
Fax: 949.305.9170
www.fightleague.org

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Step One:

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Step Two:

Select your division by age and choose the weight class you desire. You must weigh in at your selected weight or risk removal from tournament without refund: (only one division per applicant)

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Both the Military and Non Military adult brackets will be combined. Seperate selection forms are for billing purposes only. ______________________________________

Men - Non Military (18 & UP)

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Adults Military (ID card required at Check in)

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Grade School (ages 7 to 10) Boys and Girls

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Middle School Age (11 &- 13 yrs) Boys and Girls

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High School Boys (14 to 17 yrs)

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Non Military Adult Female (14 & UP) Weights will be pooled based on entries

Terms

Liability Waiver/ *Must be 18 or over to register and acknowlege waiver.* I agree to hold harmless, the Amateur Pankration League; So Cal Pankration; Southern California Association of Pankration Athlima; USA Federation of Pankration Athlima; Marine Corps Base, Camp Pendleton; All employees, volunteers, agents and associates named and unnamed, in the event of injury and serious injury occurring, during, prior and following the Camp Pendleton Invitational Pankration Championships. I understand that participation in this event/ activity has a certain amount of risk of injury, serious injury or death. I acknowledge I am medically fit and I have current and valid health insurance. In the event of an emergency I herby authorize any licensed medical personal to perform any accepted medical procedure deemed necessary and I agree to bear the expense of such treatment. I understand and agree that I may be photographed and/or filmed during this event. I further agree and understand that my image my be displayed in magazines, web sites, DVD�s/ videos and other sources of media without further notice or action.
I understand that my registration payment will not be refunded if I fail to make weight or do not show up in time for the tournament or weigh in.
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