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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