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Materials Ordering- 2010 USBA Nutmeg State Breaking Championships

**Materials ordering is closed**

Special Events:
Adult Grand Champion (receives Grand Champion Belt): All Adult competitors will have a chance to be named “GRAND CHAMPION” for Breaking and receive the Grand Champion Belt. For each category (Creative, Power Hand, Power Elbow, and Power Foot) competitors will be awarded points that will determine the Grand Champion. Competitors must enter at least 3 categories to qualify. Points will be awarded as follows: 16 points for 1st, 11 points for 2nd, 7 points for 3rd. In the event of a tie, tied competitors will have a 3 station creative break-off.
Cash Prizes: All Adult competitors will have a chance to win a cash prize of $150 for the following: Men’s Lightweight, Men’s Heavyweight, and Women’s combined. The competitor who breaks the most TOTAL boards in Power Wood Hand, Power Wood Elbow, and Power Wood Foot (combined board total for ALL 3 events) in each of the gender classes above will receive $150 from Nutmeg State Nationals promoter John Bashta. Competitors do not need to enter all three categories to be eligible for prize money.

Online Materials        Ordering by mail

Online Materials Ordering (click here for division chart): For competition registration CLICK HERE.

To order materials securely online please complete the following information in it's entirety and click "submit" at the bottom of the form. You will then be taken to the payment page for secure payment through "PayPal". You will also be able to order your materials and spectator tickets from the payment page.

Competitor Info  
Name  
Male/Female  
Birth Date (Month/Day/Year)  
Age  
Name of Parent/Guardian if under 18  
Street Address  
   
City  
State  
Country  
Zip Code  
Home Phone  
Cell Phone  
E-mail  
Years of training  
Rank/Style  
Weight (in lbs)  
Organization/Federation Association  
Emergency Contact Name  
Emergency Contact Relationship  
Emergency Contact Home Phone  
Emergency Contact Cell Phone  
Emergency Contact Work Phone  
Emergency Contact E-mail  
Studio Info  
Studio Name  
Head Instructor  
Studio Street Address  
   
Studio City  
Studio State  
Studio Zip Code  
Studio Phone  
Studio Website  
Divisions Entered Division Numbers Only
Creative Multi-Directional Wood Breaking  
Power Board Hand  
Power Board Elbow  
Kid's Power Board Foot  
Adult Power Board Foot  
Total number of divisions entered  
I hereby submit my registration form to the 2010 USBA Nutmeg State Breaking Championships. I agree to save & hold harmless USBA/WBA (USBA llc), Management, Sponsor, The Nutmeg State Nationals 3, Bashta's Martial Arts, their officers, agents, members & employees from any & all liability resulting from injuries to any person or for damages to or loss of property owned or controlled by me. I fully understand and shall adhere to all rules and regulations. I release all photo & video rights that may be used for publicity, promotion and/or media release without any form of compensation.  

Signature (Parent or Guardian if under 18):

Your signature confirms that you have read

and approve of the above release

Your entry at right will act as your signature

 

Ordering by Mail:

(click here for division chart)     (click here for rules)     (click here to download materials request form):

To register by mail please download the divisions and materials request form above. Fill in the request form referencing the divisions from division chart and return with payment to the address on the form.