2017 ECUSKF Kentucky Kendo Tournament Registration Form
Tournament April 16, 2017 (Sunday)

Online registration due by April 1, 2017.
Payments and liability forms must be postmarked by April 1, 2017, and sent to:

Jyoshu Tsushima
8323 Bruntsfield Road
Columbus, OH 43235

First Name *
Your answer
Last Name *
Your answer
Age *
Your answer
Gender *
Address *
Your answer
Rank *
Dojo Name *
Your answer
Phone Number *
Your answer
Email Address *
(For confirmation)
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Medical conditions?
Your answer
Individual Matches *
Select all that apply.
Women's Individual Match (13 & up)?
Team Matches (Kachi-Nuki-Ho) *
Need a team?
How many lunch boxes for Sunday ($10 each)? *
Your answer
How many people will attend the Saturday (April 15) dinner party? (Masala Indian)
Your answer
I acknowledge that the purpose of this form is for the preparation of the 2017 ECUSKF Kentucky Kendo Tournament. Before the participant named in this form is confirmed for the 2017 ECUSKF Kentucky Kendo Tournament, a waiver of liability signed by participant, a $35 participation fee, and all bento fees must be received by Jyoshu Tsushima at the address below. *
Required
Make all checks payable to "ECUSKF"
All payments and liability waivers must be sent to:

Jyoshu Tsushima
8323 Bruntsfield Road
Columbus, OH 43235

All items must be submitted and postmarked by April 1, 2017, to avoid the $5 late fee. No entries will be accepted after April 7, 2017.

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