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Forms

Fighting

Weapons

Self-Defense

Phone #:


Martial Arts School


Early Bird Payment (by 3-15-10) Amount: *
$50 By 3-15 Early Bird 1-2 events (includes 1 Spectator/1 T-shirt) $60 By 3-15 Early Bird 3 events (includes 1 Spectator/1 T-shirt) $70 By 3-15 Early Bird 1-2 events (includes 1 Spectator/1 T-shirt) OOPS! Missed Deadline! Will Try Next Option!

Athletic Release I AFFIRM THAT I AM AWARE OF MY PHYSICAL CONDITION, AND THAT I AM VOLUNTARILY PARTICIPATING IN THE COMPETITION. I AM ALSO AWARE THAT PARTICIPATION MAY RESULT IN POSSIBLE INJURY AS A RESULT OF THE NATURE OF THE SPORT. I ALSO AGREE TO ANY MEDICAL ATTENTION NEEDED FOR MY CHILD OR MYSELF. IN CONSIDERATION OF MY ACCEPTANCE OF THIS ENTRY, I HEREBY WAIVE FOR MYSELF AND MY HEIRS, AND ASSIGNS, ANY AND ALL CLAIMS FOR INJURY OR DAMAGES WHICH MAY OCCUR BY VIRTUE OF MY COMPETING IN THIS COMPETITION AS AGAINST THE MEET DIRECTORS AND WORKERS, YUP CHAGI INC. KIM-CHEE LLC, MASTER GORINO’S PIL-SUNG TAE KWON-DO, BILL ADAMS’ MARTIAL ARTS INC., ST. LEO THE GREAT SCHOOL, DIOCESCES OF BUFFALO, OR ANY ENTITIES INVOLVED WITH ORGANIZING THIS COMPETITION.


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Child Small 6-7 Child Medium 8-12 Adult Small Adult Medium Adult Large Adult X-L