Registration Form

FREE T-shirt if signed up by February 1st., 2008

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Fill in as complete as possible
First Name:
Last Name:
Address:
City: Zip:
Phone:
E-Mail :

Studio Name:
Instructor:
Rank:
Age:
Gender:
T-Shirt Size:
Choose one from each selection for your Divisions
($25.00 for all Three!)
Forms: We will assign all participants in their respective Divisions
Individual Sparring:
Team Sparring:

Your Comments are Welcome
Name as appears on your Credit Card

By clicking the submit button you will be agreeing to the Waiver of Injury. and then you will be directed to the payment page where you may choose to use Pay Pal, Visa or Mastercard. Thank you for the Registration and Good Luck at the Tournament!

Payment for the registration fee of 25.00 will be the next step, Submit the button below to continue.

Please click submit button only once.

9-04-2008

Want to mail it or Fax it?
The form below is to do it on-line
(Easiest Way)