Connecticut Kempo Invitational

To register for the tournament please complete the following steps.
1. Fill in all the information below and hit "Submit."
2. Fill in all billing information on PayPal's secure web server.
3. Repeat the process for any additional competitors.

Student First Name:

Student Last Name:

Parent or Guardian Name (if student under 18)
First Name:

Last Name:

Email Address:

Phone Number:

Alternate Phone Number:

Street Address:

City: State: ZIP:

Sex:      Height (inches:)       Age:

Studio Location:     Rank:

Your tournament registration includes one FREE T-shirt!
FREE T-shirt Size:

You can add extra T-shirts to your order for $15 each. Select your sizes below!

First Extra T-shirt size:
Second Extra T-shirt size:

Events:
Combinations
Forms
Sparring
Weapons
Open Forms
Chanbara
Synchronized Forms

By pressing "Submit" below, I do hereby for myself, my heirs, executors and administrators waive, release and discharge against Connecticut Kempo Invitational, 100 Percent Martial Arts, LLC and Integrity Martial Arts, LLC and/or all employees or agents of said entities and against any participant for any and all damages, which may be sustained by me in connection with my entry in the above athletic meet, or which may arise out of my travelling to, participating in or returning from said athletic event, and do hereby assume all the risks inherent to this type of sports activity.