We are excited to announce our second annual in-house tournament!  Please use the registration form below to register your child (one form per child).

Name of Parent *

Name of Parent

First Name

Last Name

Name of Child *

Name of Child

First Name

Last Name

Age of Child *

Parent's Phone

Parent's Phone

(###)

###

####

Email Address *

Current Rank of Child * Select Yellow Belt Green Belt Orange Belt Blue Belt

Payment Method for Tournament Fee *

(Select one)

I authorize Pentagon MMA to charge the registration fee to my account on file.

I do not wish to use my account on file for payment and will contact Pentagon MMA to provide payment.

Pre-Order Tournament T-Shirt? *

$15 per shirt

Yes No

T-Shirt Size

Please select T-Shirt size if you will be pre-ordering.

Youth XS Youth S Youth M Youth L Youth XL

Payment Method for T-Shirt

Please select one if pre-ordering T-Shirt.

I authorize Pentagon MMA to charge the t-shirt fee to my account on file.

I do not wish to use my account on file for payment and will contact Pentagon MMA to provide payment.

Thank you for submitting the registration form!  We are excited about this event and look forward to having your child join us.