Championships Division Change Request 1 Division Change Information2 Athlete Information3 Payment Information Division ChangeDivision Change Terms & ConditionsThis form allows an athlete (or their authorized representative) who is registered in a Muaythai Canada tournament to change their registered competitive division. The athlete must still meet the eligibility requirements of the new division. Division change fees are non-refundable, and if an athlete is moving from a division in which they have an opponent they will not be eligible for a refund on their tournament fee, either.I understand and agree to the Division Change Terms & Conditions* Yes Athlete InformationAthlete Name* First Last Athlete Email* Enter Email Confirm Email Athlete Club Affiliation*Athlete Age*Please enter a number from 0 to 55.Athlete Gender*MaleFemaleCurrent Registered DivisionCurrently Registered Age Category*(SELECT)Junior 8-9Junior 10-11Junior 12-13Junior 14-15Junior 16-17Elite 18-40Master 41-55Currently Registered Experience Class*(SELECT)C ClassB ClassA ClassQualifiers ClassCurrently Registered Weight Class (kg)*Desired Registered DivisionIf you need to see a list of divisions, please see our Competitive Division Summary.Desired Registered Age Category*(SELECT)Junior 8-9Junior 10-11Junior 12-13Junior 14-15Junior 16-17Elite 18-40Master 41-55Desired Registered Experience Class*(SELECT)C ClassB ClassA ClassQualifiers ClassDesired Registered Weight Class (kg)*Requestor InformationRequestor Name* First Last I am authorized to make this division change request on behalf of the athlete* Yes Requestor Signature* Standard Division Change FeeYouth Standard Division Change Fee*Youth National Championship Standard Division ChangeAdult Standard Division Change Fee*Adult National Championship Standard Division ChangeLate Division Change FeeYouth Late Division Change Fee*Youth National Championship Late Division ChangeAdult Late Division Change Fee*Adult National Championship Late Division ChangeFinal Division Change FeeYouth Final Division Change Fee*Youth National Championship Final Division ChangeAdult Final Division Change Fee*Adult National Championship Final Division ChangeCouponCoupon Coupons are generally only used for administrative purposes.Payment InformationSubtotalHST (13%)* Price: CAD$ 0.00 CAD Total CAD$ 0.00 CAD Billing InformationCredit Card* American ExpressDiscoverMasterCardVisaJCBMaestro Card Number Expiration Date Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Security Code Cardholder Name Cardholder Email* Cardholder Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe