Tournament Registration Form

Participant’s name *

Parent/Guardian Name (Relation) *(Participant under 18 yrs old)

Address *        Street / City / Zip

Phone Number *

Age *

Belt Rank *

Karate School *

Please List Any Health Concerns (if any)

Pricing

• Standard: – $99 for 1 or 2 events, $10 for additional event (Sept 1st – Oct 1st, 2026)

Base Price Includes 2 Events and tournament shirt

Events to Compete

• Kata
• Sparring
• Self Defense
• Weapons Demonstration

T-Shirt Size (Included in Early and Standard Registration)

• Youth S
• Adult M
• Youth M
• Adult L
• Youth L
• Adult XL
• Adult S
• Adult XXL
• adult xxxL
• I also want an Additional Shirt: $25 each

One shirt included in registration.

For Additional Shirt we required size and quantity: $25 each; Please contact us.

Permission & Agreement *

• I agree and give my permission

In consideration of your acceptance of my entry, I do hereby for myself, my heirs, executors, and administrators, waive, release and discharge against VILLARI’S MARTIAL ARTS CENTERS and/or its departments, officers, agents, representatives, successors, and/or assigns, and against any participant for any and all damages which may be sustained by me in connection with my association with or entry in the above athletic event, or which may arise out of my traveling to, participating in, or returning from said event. I understand that the entry fee is non-refundable and non-transferable. I hereby grant full permission to VILLARI’S MARTIAL ARTS CENTERS to use photographs, videotapes, or any other record of this event.

I hereby give permission to the attending physician or other medical personnel to treat the registered individual in the event of an emergency.

Register