Tournament Registration for 2018 ECUSKF Johnson Cup
Please fill out completely for each participant. Entries submitted after October 10, 2018, may not be accepted. If you have any questions, please contact Jyoshu Tsushima (tsushimaj@gmail.com).

A copy of your submission will be submitted to the email address provided below.

Email address *
Mail all checks to: Harry Labrie, 330 W First Street, Apt 502, Dayton, Ohio 45402
First Name *
Your answer
Last Name *
Your answer
Age *
Your answer
Gender *
Phone Number *
Your answer
Address (Street, City, State, ZIP) *
Your answer
Rank *
Dojo Name *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Medical Conditions
Your answer
Individual Division *
Select all that apply. Divisions are subject to change based on the number of participants.
Women's Individual? (13 and up) *
Team Division *
Number of lunches for Saturday Tournament *
$10 each
Your answer
How many people will attend the dinner party on Saturday (October 20, 2018)? *
Your answer
I acknowledge that the purpose of this form is for the preparation of the 2018 ECUSKF Johnson Cup. Before the participant named in this form is confirmed for the 2018 ECUSKF Johnson Cup, a waiver of liability signed by participant or legal guardian, participation fees, and bento fees must be received according to the Tournament Instructions. *
Required
Mail all checks to: Harry Labrie, 330 W First Street, Apt 502, Dayton, Ohio 45402
A copy of your responses will be emailed to the address you provided.
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