Please complete all parts of this registration form and click on the "Register Now" button. You will then be provided with payment options for the participation donation.
1. Competitor information:
Competitor's Name:* Birthdate:* Age:*
Rank:* Club/School:*
2. Age Program:*
3. Belt Color:*
Ages 3 and 4 Ages 5 and 6 Ages 7 to 9 Ages 10 to 11 Ages 12 to 15 Minimum age 16 Adult
White Orange Green Blue Red Black Belt
3. Participate In (check all that apply):*
Empty Hand Forms and Combinations Point Sparring Studio Class Rules Weapons (Red and Black Belt Only)
4. Contact information (or Parent information for school-age competitors):
Competitor/Parent Name:*
Phone Number:* (ex. 123456789)
Email address:* (ex. jsmith@mail.com)
Terms and Conditions:
Please read this important statement before submitting this form:
By submitting this Registration Form, I hereby discharge any and all rights and claims for damages which I may have, or which may occur to me, against The Educational Martial Arts System Inc. (TEMAS), Manna’s Martial Arts, The Center For Martial Arts, any representative of this championship and any competitor for any and all damages which may be sustained by me in connection with my association with this athletic event, and in connection with any medical services I may be provided in connection with any injury or illness. I understand the rules as provided by my instructor in their entirety. I further understand that I may be dismissed from the premises if my conduct is not cooperative to the successful operation of the championship.
Do you agree to the Terms and Conditions? Yes