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Dragon Martial Arts

Building Skills for Life at the Best Martial Arts School in the Midwest! 

Champions Challenge 2018 Pre- Registration! 

March 31st, 2018


Registration at the door starts at 8:00 am 

Continuous Sparring and Team Forms start at 9:00 am

Tournament will start 10:00 am


Rolland Warner middle school, 3145 W. Genesee St, Lapeer MI. 48446


Two Ways To Pay!


ONLINE VIA PAYPAL 

(Competitors only, Spectators must pay cash at the door) 

$60 Flat rate for competitors that pay online! please type the number of division cards you need upon payment.


OR Send In Registration form at the bottom of the page to:

Dragon Karate 

183 W. Nepessing St., Lapeer MI. 48446

(Competitors and spectators may send registration in via mail)

(Make Checks Payable to Dragon Karate LLC)


Cost: 

Competitors Pre-Registration: $60 for 3 divisions and $5 for ea. additional division

Competitors at the door: $65 for first division and $5 for ea. additional division

Spectators Pre-registration: $8

Spectators at the door: $10 



All Checks and Online Payment must be received by March 24th, 2018


PAYMENTS ARE NON- Refundable and Cash Only will be accepted at the DOOR!



PAY ONLINE!!!

Please click "Buy Now" To
Pre-register competitors online


MAIL IT TO US!!!

Printable Pre-Registration form for competitors and spectators below:
Please make checks payable to:
Dragon Karate LLC. 
send to: Dragon Martial Arts 183 W. Nepessing St., Lapeer, MI. 48446


Champions Challenge Registration Form


Cost: 

Competitors Pre-Registraion : $60 for 3 divisions and $5 for each additional Division

Competitors at the Door: $65 for first event and $5 for each additional Division

Spectators Pre-Registration: $8  

Spectators: $10 at the door 




NAME:________________________________________________________ AGE:___________


ADDRESS:___________________________________ CITY:_______________ STATE:______


ZIP:_____________


PHONE:_______________________________


EMAIL: ________________________________________________


BELT LEVEL_____________________________________ SCHOOL:_____________________________________





                                     DIVISIONS:


Black Belt                                              Underbelt:


Team forms _____                                  Team Forms____


Open Forms_____                                  Forms____


Open Weapons ____                              Weapons____


Traditional Forms _____                        Sparring ____


Traditional Weapons _____                   Continuous Sparring ____


Continuous Sparring ______


Point Sparring ______



Number of Spectators: __________

Total payment: _____________

Waiver of Release Liability: I hereby assume all risk for Champions Challenge and hereby release the tournament directors, Dan Cousineau, Dragon Karate LLC, and Lapeer High School for all personal injuries known or unknown which the competitors may incur in the tournament. I understand that tournaments involve significant and substantial physical contact between participants and the competitors may receive injuries as a result. I have read and understand this release and all of its items. I voluntarily execute it; with full knowledge of its significance.



Competitor Signature ( parent/ guardian if under 18

___________________________________________________  

 

Date _____________