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:
Processing Fee Rates:
Cards:3% plus $0.55 ($1.55 min)
(1.5% surcharge for foreign cards)
eCheck:$0.55
Method of Payment:
  Credit/Debit Card
  eCheck
 Update Name from Above
Name on Account:
Routing Number:
Account Number:
Institution:
Name on Card:
Account Number:
Expiration Date:
Billing Street Address:
Billing ZIP/Postal Code:
 Change Payment Method
Spectator Fee $5 at the door.
 
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