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Champions Challenge 2024

Date: March 23rd, 2024

Registration at the door starts at 8:00 am

Team Forms/Weapons/Forms will start at 9:00 am

Continuous sparring/ point sparring to follow forms/weapons

Lapeer High School 933 S. Saginaw St. Lapeer MI. 48446

 

Mail in  Pre-Registration form! 

Please print and fill out registration with the waiver of release form below and mail to:

Dragon Karate 1624 N. Saginaw St., Lapeer MI. 48446

(Competitors and spectators may send registration in via mail)

 Please Make Checks Payable to:

 Dragon Karate

 

Cost:

Competitors Pre-Registration: $60 for 3 divisions and $5 for ea. Additional Division

Spectators Pre-Registration: $8

ALL PRE-REGISTRATION MUST BE IN THE MAIL BEFORE MARCH 13th,2024

Competitors at the door: $65 for 1st division and $5 for ea. Additional Division

Spectators at the door: $10


 

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

Champions Challenge Registration Form

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

Spectators Pre-Registration: $8

CASH ONLY AT THE DOOR

Competitors at the door: $65 for 1st even and $5 for ea. Additional Division

Spectators at the door: $10

 

NAME:________________________________________________________

AGE:___________

ADDRESS:___________________________________

CITY:_______________ STATE:______ ZIP:_____________

PHONE:_______________________________

EMAIL: ________________________________________________

BELT LEVEL_____________________________________

SCHOOL:_____________________________________

DIVISIONS:

 

Black Belt 

Team forms _____                     

Open Forms_____ 

Open Weapons ____                       

Trad Forms____

Trad Weapons____

Continuous Sparring ______

Point Sparring ______

 

Under Belt

Forms____

Weapons___

Point Sparring___

Continuous Sparring___

 

Spectators (how many)______

 

Total $________

 

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 _____________

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