Jawara Nantambu & Muriel Patton
Presents
J.A.W.S Martial Arts Open Championship
II
TOURNAMENT REGISTRATION FORM
Saturday, May 19, 2007
REGISTERATION STARTS AT 8:00 A.M
SPECIALITY DIVISIONS WILL START AT 9:00 SHARP
Name_______________________________________________________________________
Address_________________________________
City______________ ST__ Zip_________
Email__________________________ Age____
Birth Date_______ Sex__ Rank___ Weight______
Instructor_____________________________
School_______________________________
Payment Information F.L.M.A. Members $40 for 1event Each additional event $10
Non-members $45 for 1 event Each additional event $15 Spectators $10.00 Mail Registration(s): Muriel Patton / Jawara
Nantambu F.L.M.A. Membership #
__________________
School
Address______________________________ City___________ State___ Zip_____
Select All Divisions You Plan To Complete In:
Weapons
Forms
Group Forms
(Specialty Division)
Breaking
(Specialty Division)
Creative/Musical
(Specialty Division)
Point Sparring
Self-Defense
(Specialty Division)
Special
Needs Kata
GRAND CHAMPIONS WILL
START IMMEDIATELLY AFTER ALL YOUTH EVENTS ARE FINISHED
WAIVER: I realize that karate is a contact sport and do
hereby waive and release all rights and claims for damages which may occur to
me or my child(ren) against the Tournament Host, Promoters, Directors, Representatives,
Sponsors and Volunteers as a result of my/their participation in this event. I
agree to assume full responsibility for my/their actions in connection with
this event. Permission is also given to photograph or video my participation
for future promotions without compensation. I have read and understand the
basic rules and regulations of this event as provided to me and will hereby
abide by them.
______________________________________
______________________________________
For Rules Go To: http://flma.net For More Info Contact
Muriel Patton or Jawara Nantambu 813-766-7921 / 813-841-7920
Competitor’s Signature if 18 Years or Older Signature if Parent/Guardian if under
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