Online Registration for Kentucky Kendo Tournament
This form is replacing the paper registration form from previous years. Please fill out completely for each participant. Entries submitted after March 1, 2018, may not be accepted. If you have any questions, please contact Hiroko Matsuyama (hxm107@case.edu) or Jyoshu Tsushima (tsushimaj@gmail.com).
Email address *
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 *
$10 each
Your answer
Number of lunches for Saturday (Vegetarian) *
$10 each
Your answer
How many people will attend the dinner party on Saturday, March 10? (Buca di Peppo) *
Your answer
By signing my name below, I acknowledge that I am the participant named above, or the parent or legal guardian of the minor named above, and sign this Liability Waiver, intending to be legally bound, do hereby, for myself, my heirs, executors and administrators, waive, release, and forever discharge any claims for damages I or named minor may incur, or that may hereafter accrue to me or named minor, against East Kentucky University, All United States Kendo Federation, East Central United States Kendo Federation, any East Central United States Kendo Federation officers, members or officials, and any organizations associated with East Central United States Kendo Federation or All United States Kendo Federation for all or any damages that may be sustained or suffered during my participation in the tournament or promotion test, or damages thru transportation to and from the site of tournament or promotion test, including any negligent acts of the parties listed above. Where the participant is a minor, I (the parent or guardian), do agree to the above waiver and give permission to tournament officials to seek medical attention for my son or daughter in the event of sickness or injury, even if occurrence of the sickness or injury is unrelated to participation in this Kendo tournament or promotion test. I acknowledge that Kendo has inherent risks that can cause physical injuries despite the precautions taken by tournament officials, volunteers, and participants.
Signature of participant or parent/guardian (Sign by typing your full name below)
Your answer
Date of Signature
Your answer
Please make all payments online by March 1, 2018.
Multiple participation fees and multiple bentos can be paid for at the same time. Payments for participation fees and bento fees must be made separately.

Participation fee payments:
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=ZHAZ8XRG8AET4

Bento payments:
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=QWKK49TKAWN2S

A copy of your responses will be emailed to the address you provided.
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