2nd Annual Palm Coast Martial Arts Tournament Registration
Event Timing: February 17. 2018 from 12:00 - 5:00 PM
Event Address: 5500 FL-100, Palm Coast, FL 32164 (High School Gym)
Contact us at (386) 585-7300 or moodoacademy@yahoo.com
Email address *
Participant's Name *
Your answer
Parent/Guardian
Your answer
Male/Female *
Birthday *
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DD
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YYYY
Age *
Your answer
Time Training (In Months) *
Your answer
Address *
Your answer
City/State/Zip Code *
Your answer
Telephone Number *
Your answer
Style *
Your answer
School/Studio *
Your answer
Instructor's Name *
Your answer
Choose Your Division(s) *
Required
Early Registration Pricing 2/5/2018
Ages 4-7 $25
Ages 8 - Adult $50
Board Breaking $10 (Pre-Order Required)
Late Registration Pricing 2/6/2018 - 2/10/2018
Ages 4-7 $40
Ages 8 - Adult $65
Board Breaking $15 (Pre-Order Required)
Liability & Waiver
I hereby agree to waive all claims against any and all persons of Flagler School District, Moo Do Academy of Martial Arts, LLC and Core Martial Arts and Fitness, LLC, instructors and/or fellow students for any injuries I may sustain related to this tournament. I also assume responsibility for all my actions or my child’s actions in connection to the above-mentioned training. I agree to show good sportsmanship (and/or encourage my child) during the tournament at all times and failure to do so could result in disqualification. Furthermore, I also consent that Moo Do Academy of Martial Arts, LLC and Core Martial Arts, LLC instructors may obtain medical care for my child or myself if deemed necessary. I understand and consent that Moo Do Academy Martial Arts, LLC and Core Martial Arts and Fitness, LLC may use any photographs, videos, and/or testimonies of me and or my child participating in said event, and without expectation of compensation
You (competitor, parent/guardian) accepts all responsibility for any injury sustained at this competition *
Emergency Contact *
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Emergency Contact Number *
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Comments
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A copy of your responses will be emailed to the address you provided.
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