2008 PKC International Karate Championships

Tournament Release Form.....
(complete 1 form per competitor)

First Name:
Last Name:
E-mail:
PKC # (if applicable):
Birthdate: (mm/dd/yy)
Phone:
Street Address:
City:
Province/State:
Postal Code/Zip Code:
Rank:
Instructor's Name:
Dojo Street Address:
Dojo City:
Competition
Check the events where you will compete
Friday:
Continuous Sparring
Ippon Kumite
3 Person Sparring
Team Forms
Saturday:
Self Defense
Chanbara
Musical/Creative Kata
Weapons
Sunday:
Sparring
Forms
Release Form:
(you must be
18 yrs old or
older to register)

The undersigned releases the Professional Karate Commission, Mr. Glenn Keeney and the staff of this event, and the Marriott Center East of any and all liability associated with this Event in the event of injury or personal property which is lost, stolen or damaged. The Releasing Party certifies that he or she is 18 year of age or older and will participate in The PKC International Championships martial arts tournament to be held at the Marriott East Convention Center in Indianapolis, Indiana, or is the parent or guardian of the minor participant (under age 18yrs) in this event.

This is an open tournament with light to moderate contact in all sparring/fighting divisions. If you choose to participate in this event, injuries may occur. Safety equipment is required in order to participate in sparring/fighting divisions and in Self defense.

Failure to follow the rules of this Event will result in disqualification.. It is fully understood by the undersigned that there is some inherent risk associated with this Event, including personal injury or death to the participant, and damage to equipment and materials used at and during the Event. In addition, the undersigned certifies that he or she is a member of an established martial art training program.

Releasee:
Type your name and click submit to agree to the release information and submit your registration form,
PRINT THIS FORM FOR YOU RECORDS

 

 

  Congratulations to all champions, and thank you for your continued support  
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