festival of the kings event division(s) registration _____logged circle the event number(s) you are...

FESTIVAL OF THE KINGS Event Division(s) Registration _____Logged ircle the event number(s) you are entering as listed on the Divisions sheet. No. of Events Entered: ______ Male _____ Female _____ Rank ___________ Weight __________ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 NAME____________________________________________________ AGE _____ DATE OF BIRTH _____________ ADDRESS____________________________________________________TELEPHONE ( )___________________ CITY________________________________ STATE __________ ZIP CODE __________ E-MAIL ADDRESS _______________________________________________________________________________ DOJO NAME____________________________________________________TELEPHONE ( )________________ ADDRESS ______________________________________________________FAX NUMBER ( )_______________ CITY________________________________STATE___________ZIP CODE __________ E-MAIL ADDRESS _______________________________________________________________________________ INSTRUCTOR _____________________________________STYLE _______________________________________ I, THE UNDERSIGNED, DO HEREBY ASSUME ALL RISKS OF PERSONAL INJURY while attending, traveling to and/or from, participating in said tournament, and acting for myself, my heirs, personal representatives, and assigns, do hereby release the property owner, manager, landlord, host, sponsors, tournament officials, and the officers agents, and representatives of said organizations taking part, individually and collectively, from all liability, including claims against and suits at law or in equity for any injury, fatal or otherwise, which may result directly or otherwise from my traveling to, participating in, or returning from said contest. I further fully understand that if I am under 21 years of age, this application must be signed by my parent, legal guardian, or instructor (21 years old or over). SPECIAL NOTE: ALL CONTESTANTS MUST BE CERTIFIED AS QUALIFIED FIGHTERS BY THEIR INSTRUCTORS. SCHOOL INSTRUCTORS MUST ASSUME FULL RESPONSIBILITY OF HIS/HER FIGHTER’S ABILITY. S A F E T Y E Q U I P M E N T M A N D A T O R Y MOUTHPIECE, GROIN CUP, FOOOTPADS, GLOVES, HEADGEAR, BREAST PADS (FEMALES) IGNATURES: ARTICIPANT ___________________________________________ DATE ________________________ ARENT/GUARDIAN/INSTRUCTOR __________________________________ DATE ________________ REGISTRATION EARLY BIRD PRE-REG AT DOOR ENTRY FEES: 15 Jun to 01Sep to 31Aug 18Nov One event $25 $30 $35 Two events $30 $35 $40 Three events $35 $40 $45 Four events $40 $45 $50 Five events $45 $50 $55 NO PERSONAL OR DOJO CHECKS, PLEASE NO REFUNDS EARLY AND PRE-REGISTRATION Make MONEY ORDER or CASHIER’s CHEQUE ONLY payable to: Ted Tabura Send with Pre-Registration Entry form to: 1915 West 154 th Place Gardena, CA 90249-4305 NO SCHOOL/PERSONAL CHECKS, PLEASE General Admission: $8.00 – Adult $6.00 – Age 6- 18 Children 5 yrs and under: FREE DO NOT INCLUDE GENERAL ADMISSION IN PRE-REGISTRATION PAYMENT. SEND SEPARATE MONEY ORDER OR CASHIER’S CHEQUE MAHALO NUI LOA FOR COMING….ENJOY YOURSELF….GOOD LUCK….COME AGAIN

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FESTIVAL OF THE KINGSEvent Division(s) Registration

_____Logged

Circle the event number(s) you are entering as listed on the Divisions sheet.

No. of Events Entered: ______

Male _____

Female _____

Rank ___________

Weight __________

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44

45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65

66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85

NAME____________________________________________________ AGE _____ DATE OF BIRTH _____________

ADDRESS____________________________________________________TELEPHONE ( )___________________

CITY________________________________ STATE __________ ZIP CODE __________

E-MAIL ADDRESS _______________________________________________________________________________

DOJO NAME____________________________________________________TELEPHONE ( )________________

ADDRESS ______________________________________________________FAX NUMBER ( )_______________

CITY________________________________STATE___________ZIP CODE __________

E-MAIL ADDRESS _______________________________________________________________________________

INSTRUCTOR _____________________________________STYLE _______________________________________

I, THE UNDERSIGNED, DO HEREBY ASSUME ALL RISKS OF PERSONAL INJURY while attending, traveling to and/or from, participating in said tournament, and acting for myself, my heirs, personal representatives, and assigns, do hereby release the property owner, manager, landlord, host, sponsors, tournament officials, and the officers agents, and representatives of said organizations taking part, individually and collectively, from all liability, including claims against and suits at law or in equity for any injury, fatal or otherwise, which may result directly or otherwise from my traveling to, participating in, or returning from said contest. I further fully understand that if I am under 21 years of age, this application must be signed by my parent, legal guardian, or instructor (21 years old or over).

SPECIAL NOTE: ALL CONTESTANTS MUST BE CERTIFIED AS QUALIFIED FIGHTERS BY THEIR INSTRUCTORS. SCHOOL INSTRUCTORS MUST ASSUME FULL RESPONSIBILITY OF HIS/HER FIGHTER’S ABILITY.

S A F E T Y E Q U I P M E N T M A N D A T O R YMOUTHPIECE, GROIN CUP, FOOOTPADS, GLOVES, HEADGEAR, BREAST PADS (FEMALES)

SIGNATURES:

PARTICIPANT ___________________________________________ DATE ________________________

PARENT/GUARDIAN/INSTRUCTOR __________________________________ DATE ________________

REGISTRATION EARLY BIRD PRE-REG AT DOORENTRY FEES: 15 Jun to 01Sep to

31Aug 18NovOne event $25 $30 $35Two events $30 $35 $40Three events $35 $40 $45Four events $40 $45 $50Five events $45 $50 $55

NO PERSONAL OR DOJO CHECKS, PLEASENO REFUNDS

EARLY AND PRE-REGISTRATIONMake MONEY ORDER or CASHIER’s CHEQUEONLY payable to: Ted Tabura

Send with Pre-Registration Entry form to:1915 West 154th PlaceGardena, CA 90249-4305

NO SCHOOL/PERSONAL CHECKS, PLEASE

General Admission: $8.00 – Adult$6.00 – Age 6-18

Children 5 yrs and under: FREEDO NOT INCLUDE GENERAL ADMISSION INPRE-REGISTRATION PAYMENT. SEND SEPARATEMONEY ORDER OR CASHIER’S CHEQUE