Tournament Registration Form Please enable JavaScript in your browser to complete this form.Participant's name *Parent/Guardian Name (Relation) *Participant under 18 yrs old)Address *Street / City / ZipPhone Number *Age *Belt Rank *School *Please List Any Health Concerns (if any)Pricing *Standard: – $89 for 1 or 2 events, $10 for additional event (Sept 10th – Oct 4th, 2023)Late: ——– $94 for 1 or 2 events, $15 for additional event (Oct 5th – Oct 10th, 2023)Base Price Includes 2 EventsEvents to Compete *KataSparringSelf Defense (Note: Self-Defense is Purple rank and higher)T-Shirt Size (Included in Registration) *Youth SAdult MYouth MAdult LYouth LAdult XLAdult SAdult XXLI also want an Additional Shirt: $25 eachOne shirt included in registration. For Additional Shirt we required size and quantity: $25 each; Please contact us.Permission & Agreement *I agree and give my permissionIn 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
