Tournament Sponsored by
ABC Martial Arts

-Registration Form-
October 24, 2014
Doors Open at 8 am

 
Participant's Information
First Name: Last Name:
Address:
Address:
City: State/Province: ZIP/Postal Code:
Phone: Email:
Rank
Martial Arts School

 
First Event:   $40.00   Select:   Item Subtotal:  
$0.00
Event
Age
Experience
Additional Events:   $10.00   Quantity:   Item Subtotal:  
$0.00
Event [1]
Age [1]
Experience [1]

Event

[2]
Age [2]
Experience [2]

Event

[3]
Age [3]
Experience [3]

Event

[4]
Age [4]
Experience [4]

Event

[5]
Age [5]
Experience [5]

Event

[6]
Age [6]
Experience [6]

Event

[7]
Age [7]
Experience [7]

Event

[8]
Age [8]
Experience [8]

Event

[9]
Age [9]
Experience [9]

Event

[10]
Age [10]
Experience [10]
Total:
$0.00
 
Participant/Guardian
I have read and agree to the statement below.
I, the undersigned do hereby release all persons associated with this event in any capacity (ABC Martial Arts and all of their instructors, agents and employees, and all sponsors and persons involved) from any liability due to injuries etc. that may incur as a result of my attendance/participation at the above event.

Furthermore, I hereby waive any compensation whatsoever for the use of pictures, movies, media coverage, etc. by the promoter and those designated by the promoter. There will be no refunds. Events subject to change due to level of participation.
 
Participant/Guardian
 
Payment Information
Method of Payment:
Update name from Participant's Information
Name of Individual
on Checking Account:
Name of Individual
on Savings Account:
Name of Business
on Checking Account:
Bank Routing Number:
Bank Account Number:
Credit Card Number: (Type number or swipe with cursor in this empty field)
Expiration Date: /
Card ID (CVV2/CID) Number: What is the Card ID?
Cardholder Information (exactly as it appears on your statement)
  Update from Participant's Information
Cardholder's Name:
Billing Street:
Billing ZIP/Postal Code:
Spectator Fee $5 at the door.
 
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