We will choose the appropriate division for you or your child.
Age
First Name
Last Name
Sex	Male Female
Parent/Guardian's First Name
Parent/Guardian's Last Name
Address
Apt # (Optional)
City
State
Zip code
Home Phone #	- -
Emergency/Cellular Phone #	- -
Email address
What categories would you like to compete in?
Kata	Yes No
Sparring	Yes No
Weapons	Yes No
Board Breaking	Yes No
# of Spectators ($5/ea.)
Tournament T-Shirt	Yes No
Personalized Video	Yes No
Additional Comments? Size/Quantity of T-Shirt(s).