REGISTRATION
Return registration and payment before
May 1, 2010 to Excel Academy.
$25 - Lil Dragons Demo
$35 - 1 or 2 Events
$40 - At The Door
$10 - For 3rd Event
$5 - Spectator
8 & Under - FREE
Register by printing out our
Registration Form and mail to:
Excel Academy
153 W. Harwood Rd.
Hurst, TX
76054
Please make all checks payable to
Excel Academy.
...or Fill out the form below.
For more information call Miguel Valdez
(817)656-1677 or cell (817)455-1626.
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All competitors should arrive 30 Minutes early so that divisions may start on time.
EVENT SCHEDULE
8:30 B.B. - Meeting, 9am
7 & Under Kids - 10am
8-9 Kids - 11am
10-12 Kids - 12pm
13-17 Teens - 1:30pm
Adults
DO NOT BE LATE!
All competitors must wear a Karate uniform and have all of their proper equipment.
- Soft Foam Kicks
- Hands
- Headgear
- Shin Guards
- Mouthpiece
- Cups (for boys)
EVERY COMPETITOR WILL WIN AN AWARD!
We will try to split any divisions with 10 or more people for smaller divisions.
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| Registration Form |
* indicates information is required. |
| First Name * |
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| Last Name * |
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| Rank * |
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| Age * |
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| Height/Weight - B.B. Fighter Only |
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ft.
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lbs. |
| Gender * |
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| Email * |
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| Phone * |
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| Address 1 |
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| Address 2 |
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| City |
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| State |
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| Instructor Information |
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| Karate School * |
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| Instructor Name * |
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| Karate School Address |
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| Karate School Email |
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| Karate School Phone |
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| City |
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Liability Waiver
I, the undersigned release St. Vincents, Excel Academy, Miguel Valdez and all instructor and persons associated with this event in any capacity, from liability incurred as a result of my attendance and or participation at this event and damages or injury that may occur to me as a result of my participation and or competition in said event. This including, but not limited to, any damages or injury I might suffer during said TOURNAMENT. I do herby state that I am physically able to compete in this athletic endeavor and have not been heretofore advised by a physician and or medical authority against activity of this type. I furthermore acknowledge that I have been thoroughly trained and recommended to participate in said TOURNAMENT by my instructor who is a black belt in the martial arts. I have signed below as a GUARDIAN or PARENT of the undersigned minor or Adult Competitor. I furthermore acknowledge that the waivers, releases, and affirmation state above apply to say minor as the parent or legal guardian of said minor or adult competitor. |
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| AGREEMENT |
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| By selecting 'Yes', you agree to the following conditons provided above. |
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| Print This For Your Records |
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| ONLINE PAYMENT |
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We accept all major credit cards.
Click Continue to finish your registration process. |
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