Championship Division Change Request

1 Division Change Information

2 Athlete Information

3 Payment Information

Division Change
Division Change Terms & Conditions
This 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 Information
Athlete Name*
First Last
Athlete Email*
Enter Email Confirm Email
Athlete Club Affiliation*
Athlete Age*
Please enter a number from 0 to 55.
Athlete Gender*
- Male
- Female
Current Registered Division
Currently Registered Age Category*
Currently Registered Experience Class*
Currently Registered Weight Class (kg)*
Desired Registered Division
If you need to see a list of divisions, please see our Competitive Division Summary.
Desired Registered Age Category*
Desired Registered Experience Class*
Desired Registered Weight Class (kg)*
Requestor Information
Requestor Name*
First Last
I am authorized to make this division change request on behalf of the athlete*
- Yes
Requestor Signature*

Standard Division Change Fee
Youth Standard Division Change Fee*
- Youth National Championship Standard Division Change
Adult Standard Division Change Fee*
- Adult National Championship Standard Division Change
Late Division Change Fee
Youth Late Division Change Fee*
- Youth National Championship Late Division Change
Adult Late Division Change Fee*
- Adult National Championship Late Division Change
Final Division Change Fee
Youth Final Division Change Fee*
- Youth National Championship Final Division Change
Adult Final Division Change Fee*
- Adult National Championship Final Division Change
Coupon
Coupon

Coupons are generally only used for administrative purposes.
Payment Information
Subtotal
HST (13%)*
Price: CAD$ 0.00 CAD
Total
CAD$ 0.00 CAD
Billing Information
Credit Card*

American Express
Discover
MasterCard
Visa
JCB
Maestro
Card Number Expiration Date Security Code Cardholder Name
Cardholder Email*
Cardholder Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Division Change Terms & Conditions