Battle of Detroit 2007
Pre-Register by March 15, 2007
Reg. # ___________
(Please Print This Information Legibly)
| Competitor Information Name __________________________________________ Age _______ Sex _______ Address _______________________________________________________________ City _____________________________________ State _______ Zip _____________ Telephone ( ) E-mail _______________________________ Rank _________________________ Style___________________________________ |
| Martial Arts School Information School Name _____________________ Instructor(s) Name ______________ Rank _____ School Address ______________________________________________________ City _______________________________________ State ________ Zip _____________ Telephone ( __) _______ Fax (_____)_____________________________ E-mail _________________________________ Web Page _________________________ |
Events: ( ) Open Form :: ( ) Traditional Form :: ( ) Tae Kwon Do Form :: ( ) Tang Soo Do Form
( ) Extreme Form (Gymnastics, Martial Arts Mixer with or without music)
( ) Musical Forms :: ( ) Sparring Modified NASKA :: ( ) Sparring Continuous :: ( ) Weapons Open
( ) Weapons Form Traditional :: ( ) Weapons Form Musical :: ( ) Breaking (must provide cover for floor and clean up broken material)
1-event $40, 2-events $50, 3-events $60, 4-events $70, 5events $80, 6-events $85
**a competitor may enter only one musical form division and one form division , and the competitor may enter one musical weapons division and one other weapons division and only one sparring division. Maximum is 2 musical(1 form-1weapons) and 1 other form division, and only one sparring division.)
Spectator Championship/Stars-World Health Fitness Wellness Expo Tickets
March 25th Adult and Children $10 Admission World Health Expo March 26th( ) Both Days Spectator $15 adults and child (Tickets obtained from Birch Run Expo Center Box office only) Championship is on Satrurady March 25th only starts at 10a.m., Both days for World Health Fitness Wellness Expoo.
Mail to and make checks payable to:
“World Martial Arts College”
P.O. Box 489, Linden, Michigan 48451
Pre-Register received by 3-15-2006
Waiver Clause/Hold Harmless Agreement
I, the undersigned, do hereby voluntarily submit my application for registration in the said Battle of Detroit Martial Arts Championships. I agree to waiver claim against any persons or organizations connected with the World Health Fitness Expo Battle of Detroit Martial Arts Championships for any injuries I may sustain. I likewise assume full responsibility for all my actions in connection with the said championships. I further agree that the tournament director for publishing or promotion can use any pictures taken of me in connection with the said championships without compensation at this or any other time hereafter.
If Competitor Is Under 18 Years Old The Parent/Guardian
Must Sign This Entry Form.
Signature: __________________________________________________________________________________________________