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SIDEKICK
SPRING KUMITE
Saturday,
March 19, 2005
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Presented by
105 North Main Street, China Grove, NC
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CHINA
GROVE MIDDLE SCHOOL
Located 1/2 mile north of SideKick Karate at 1013 North Main
Street/Hwy 29-A EVENTS:
Kumite
(Sparring) / Three Kumite Rings ***Concessions
provided by Lit'l Country Diner***
REGISTRATION FEE:
By March 19th - $25 / After March 19th - $30 / Tournament Day - $35
* No
Refunds/No Exceptions (Thank you for pre-registering)
Spectator Fee: $3 at
the door (NO TICKETS SOLD IN ADVANCE)
Every Competitor Wins
a
3½
foot
Trophy!
Competitor will be paired with another competitor who is nearest their
size, rank, time-in, and ability.
ORDER OF EVENTS
DOORS OPEN FOR REGISTRATION...10:00 A.M.
JUDGES MEETING...10:30 A.M.
SCREAMING EAGLE DIVISION (Ages 4-6)...10:00 A.M.
KIDS DIVISION (Ages 7 & up)...12 P.M.
ADULT DIVISION (Ages 16 & up)...2:00 P.M.
1-800-560-KICK
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SIDEKICK
SPRING KUMITE REGISTRATION
FORM
Mailed registrations must be post
marked before deadlines and mailed to P.O. Box 922 / China
Grove, NC 28023
Name____________________________________
Age as of March 19, 2005_____ M/F_____
Address_____________________________
City__________________
State_____ Zip______
Rank_____________________________
Instructor/School______________________________
Phone
in case of an
emergency______________________________________________________
E-mail
Address___________________________________________________________________
Registration
Fee: By March 19 - $25 / After March 19 - $30 / Tourn. Day -
$35
$_______
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Please
read carefully before signing:
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I
do hereby agree to waive all claims against SideKick
Karate and its instructors or its agents for any
injuries that I might sustain.
I understand that the nature of this event does
not preclude injury and I agree to assume full
responsibility for any injuries that I might sustain as
a participant of this tournament.
I hereby state that as of March 19, 2005, I have
proof of full insurance coverage for any type of medical
expense that I might sustain at SideKick Karate. |
Signature
Signature
(Parent or Guardian if under 18)
________________________________________________
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