EMAIL REGISTRATION FORM October 28, 2017, 12th ULTIMATE WARRIOR CHALLENGE
(Submit by Email)
Please fill out one registration form per competitor
First Name
Last Name
Address
City State
Zip
Phone
Email
   
Martial Art School
Instructor
   
Gender:
Age:
UNDER BELTS (Number of Months Training)
Novice Intermediate: Advance:
DIVISIONS
Forms: Traditional
Weapons: Traditional
Sparring: Point Lt. Contact/Continuous
The above competitor (and if under 18, by the competitor's parent or guardian on behalf of the competitor) assumes full resonsibility and risks and waives all claims for any damage, injuries or loss that the competitor may sustain or occur, if any while attending or participating in the KI Tang Soo Do, LLC tournament or any other martial arts events. Competitor releases all claims against the promoters,operators, rented facility owners, sponsors, or other competitors or sponsors of the KI Tangsooe Do tournament and events. ("Release Parties") for any injuries or damage competitor might sustain. Competitor fully understands that any medical treatment given will be of a first aid treatment only.Competitor consents that any pictures furnished by the competitor or any pictures taken of the competitor in connection with the tournament or events can be used for publicity, promotion on TV, Internet, or publication.Competitor, parent or guardian waive compensation in regards hereto.If the competitor is under 18 years of age the undersigned parent or guardian agrees to indemnify the Release Parties for all those losses which arise from injury the competitors suffer while participating in the KI Tang Soo Do, LLC tournament or any other Martial Arts events. I have read all of the above and am in full agreement.
Signature of Competitor (over 18 years of age) Parent or Guardian
     

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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