Participant *

First Name

Last Name

Participation *

$20 for one event, $30 for Two Events

Individual Sparring

Team Sparring

Participant #2

First Name

Last Name

Participation

$20 for one event, $30 for Two Events

Individual Sparring

Team Sparring

Participant #3

First Name

Last Name

Participation

$20 for one event, $30 for Two Events

Individual Sparring

Team Sparring

Participant #4

First Name

Last Name

Participation

$20 for one event, $30 for Two Events

Individual Sparring

Team Sparring

Parent/ Guardian (if participant is under 18)

First Name

Last Name

Phone

(###)

###

####

I agree to the cost of this event payable *CASH ONLY* upon entry.

Yes, I understand and agree to these terms.