REGISTRATION

NAME
ADDRESS
CITY/STATE/ZIP
DATE OF BIRTH      ,    
PHONE NUMBER
E-MAIL ADDRESS
INSTRUCTOR
MARTIAL ART'S SCHOOL

By submitting this form, you are agreeing to accept the waiver on the right.

I am accepting on behalf of the above named competitor as they are under 18 years of age.

 

Waiver:   

I, the above named, do hereby voluntarily submit my application for attendance and participation in the SOMA  Karate Tournament. I do hereby assume full responsibility for any and all damages, injuries and losses that I may sustain or incur, in any way, while attending or participating, and I do hereby waive all claims against the promoters or operators or sponsors of said KARATE TOURNAMENT individually or otherwise, for any claim for injuries I might sustain. 

I consent that any picture taken of me in connection with the Tournament can be used for publicity, promotion or television showing, and I waive compensation in regard thereto. I fully understand that any medical treatment given me will be of FIRST AID treatment only.

  **BY SUBMITTING THIS REGISTRATION, YOU ARE HEREBY ACCEPTING THE TERMS AND CONDITIONS OF THIS WAIVER AND ACCEPT ALL RESPONSIBILITIES ASSOCIATED WITH TOURNAMENT PARTICIPATION.

 

  COMPETITOR INFORMATION
KARATE REGISTRATION
DIVISION
KATA
WEAPONS
KUMITE
   
GRAPPLING REGISTRATION
DIVISION
WEIGHT
Gi
No-Gi
 

        DO NOT send any payment information with this registration form. All payments can be made at the tournament. Cash only. No checks. No Refunds.

        SOMA reserves the right to deny entry to anyone at this event.

         You will receive an e-mail confirmation within 2-3 business days. If you do not receive an e-mail from RisingSunMA@aol.com to confirm your registration, PLEASE RESEND APPLICATION!!  Thank you.

 

If all of the above information is correct, click submit: 

To Register Another Competitor - Click submit, then follow link to register

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