Roseberry Kata Tournament

Roseberry Invitational Kata Tournament Registration

Competitor's First name

Competitor's Last name

Age on the Date of the Tournament

Phone

Dojo

Sensei

Parent/Guardian/Emergency Contact Name

Phone Number

Select an item ($)

Kata Only Registration Fee - $20

Kobudo Kata Only Registration Fee - $20

Both Kata and Kobudo Kata Registration Fee - $25

Kata and Kata Bunkai Registration Fee - $30

Kata, Kobudo Kata, and Bunkai Registration Fee - $35

Name of Bunkai Partner

Age of Partner

Bunkai Name

By checking this box, the competitor, and in the event the competitor is under twenty-one years of age, the competitor’s parent(s) or guardian(s), for, in consideration of participating in the Sho-Rei-Shobu-Kan Roseberry Invitational , hereby hold(s) harmless and indemnifies the organization, the officers, instructors and other members and/or students, either individually or jointly, from and against all claims and demands whatsoever, including, but not limited to those arising from any accident, illness, injury to or death of any person or persons resulting directly or indirectly from participation in training or any other activity related to this tournament and occurring during said participation or any other time subsequent thereto. Further, the competitor, parent(s), or guardian(s) understand(s) there is a certain element of danger in martial arts and sports and acknowledges that it has been explained that caution reduces the element of danger and injury. It is also understood that the Organization or school reserves the right to remove participants from this event for any action deemed undesirable. The competitor, parent(s), or guardian(s) stipulates that he/she is physically sound and has medical approval to proceed with normal, routine exercise. It is further understood that there are no refunds for this event.

Thanks for registering to our event. See you there!