Bryant's Isshinryu Karate

MICHIGAN SPORT KARATE OPEN

MICHIGAN SPORT KARATE OPEN
MSKC AAA RATED                     
PRE-REGISTRATION

Name___________________________________Age____Weight__________

Address_________________________________________________________

City______________________________State____Zip___________________

Phone_____________________________Instructor_____________________

School_________________________________________________________

Divisions Entering: Pre Reg $40.00
(1 KATA, 1 WEAPON, 1 SPARRING)

_________  1ST  FORMS

__________ +$5.00  2 nd FORMS

__________ 1ST WEAPONS

__________ +$5.00  2 nd WEAPONS

__________  SPARRING

__________   NUMBER OF ­­­­__________   SPECTATORS X $8.00
                                               
__________     TOTAL

All Pre Registrations must be postmarked by Jan 21st  2008
Send Pre Reg. To Bryant’s Karate 821 Doral Drive Oxford MI 48371.
 For more info call (249) 969-7859  Make all checks payable to : Bryant’s Karate

The participant agrees to comply with the rules of Bryant’s Karate Inc. I acknowledge that this competition is physical and participation may result in injury.  By signing this waiver, I HEREBY AGREE TO HOLD HARMLESS AND FULLY INDEMNIFY BRYANT’S KARATE, INC., OXFORD SCHOOLS AND ANY OF THEIR OFFICERS, AGENTS OR EMPLOYEES IN EVENT OF ANY CLAIMS DUE TO INJURY TO THE PARTICIPANT NAMED ABOVE.  I am fully aware of the participant’s personal medical conditions and hereby certify that the participant is mentally and physically able to participate in the competition.

____________________________________________________
Signature (or Parent/Guardian if under age 18)

Date: _________________
SAFETY GEAR IS MANDATORY IF SPARRING: HEAD, HANDS, FEET, MOUTH & CUPS FOR MALES.

Send mail to webmaster@bryantskarate.com with questions or comments about this web site.
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Last modified: Thursday March 15, 2007 04:58:37 PM