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: M F Height (inches:) Age:
Studio Location: Branford Centerbrook Enfield Glastonbury Kai Ming Newington Weatogue Rank: White Yellow Orange Purple Blue Blue/Stripe Green Green/Stripe 1st Brown 2nd Brown 3rd Brown 1st Junior Black 2nd Junior Black 3rd Junior Black 4th Junior Black 5th Junior Black Shodan Nidan Sandan
Your tournament registration includes one FREE T-shirt! FREE T-shirt Size: Kid Small Kid Medium Kid Large Adult Small Adult Medium Adult Large Adult XL Adult XXL
You can add extra T-shirts to your order for $15 each. Select your sizes below! First Extra T-shirt size: None Kid Small Kid Medium Kid Large Adult Small Adult Medium Adult Large Adult XL Adult XXL Second Extra T-shirt size: None Kid Small Kid Medium Kid Large Adult Small Adult Medium Adult Large Adult XL Adult XXL
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.