Pre-Registration Information

K.B.M.A.Championship

Saturday June 2, 2018
10:00 a.m.
Centra Cabarrus High School
505 Hwy 49, South Concord, NC 28025

All pre-registered competitors are to report to the pre-registration arsa

upon entering the tournament to pick up their competitor cards and entry bands.

Competitors are responsible for correctly filling out competitor cards

and turning them into the control table immediately after entering tournament.

PRE-REGISTER
1ST Division                   $45.00
Additional Division        $10.00
SPECTATORS
Gen. Admission              $8.00
Children 5 yrs. Under      FREE
Coaches Pass                $15.00
*Coach's Pass in addition to Spectator or Competitor,s Pass
Coach's Pass will allow you inside barriers to coach your player
during SPARRING ONLY.
______________________________________________________________________

DAY OF EVENT REGISTRATION
1ST Division                         $60.00
Additional Division              $15.00
SPECTATORS
Gen. Admission                   $10.00
Children 5 yrs. Under          FREE
Coaches Pass                     $20.00
CASH ONLY AT THE DOOR

Pre-Registration must be Post Marked
By May 25, 2018

Registration info & Please Fill out completely Karate Only this is NOT for Kickboxing, Grappling or Wrestling Competitors

Name:

* required

Street Address:

* required

City State & Zip:

* required

Phone Number:

* required

E-mail:

Age:

* required

Gender:

Rank:

I would like to register for the following event
Blackbelts and Underbelts players may compete in as many divisions as they qualify for
If registering online you must send in your payment after you submit your registration information;
Just go to: Make A Payment

Breaking:

Little Dragon:

Flag Sparring:

Boys Sparring:

Girls Sparring:

Point Sparring:

Adult Black Belt M/F Sparring:

Musical Weapons:

Open Weapons:

Traditional Weapons:

Open Forms:

Contemporary Forms:

Traditional Forms:

Self-Defense:

Adult / Jr. Black Belts :

Handicap Accessible:

Please Read Waiver and acknowledge Below:

The undersigned, hereby voluntarily submit my application for attendance and/or particitation in 2017 The Kuro Bushi Martial Arts Championship (KBMAC), and do hereby assume full responsibility for any and all damages, injuries, and loses that I may sustain and/or incur in any way while attending and/or participating in this event. I also hereby waive all claims against Master Ernest Dukes, KBMA or it's employees, Central Cabarrus High School, or any affiliates directly or indirectly associated with this tournament or any claim or injury that they may sustain. I fully understand that the sparring aspect of martial arts involves bodily contact and there is always an inherent risk of injury.

I Acknowleged I have read the above waiver and agree to accept the risks indicated

Name of person who Assumes complete responsibility
If under 18 it must be a parent or guardian:

* required

Show a print version