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rd

3 annual
ULTIMATE
Taekwondo Competition

Sponsoredby:WatsonsMartialArts

Saturday May 19, 2012


Ross Middle School
3425 Hamilton-Cleves Road
Hamilton, OH 45013
Competition Starts at 10:30 am
OnsiteRegistrationat9:00am
Minimalspectatorfeewillbecollectedatthedoor

Mail or Drop off Pre Registration to:


Watsons Martial Arts
3118 Springdale Road
Cincinnati, OH 45251


~AthleteRegistrationForm~
Mailcompletedformalongwithpaymentpayableto:LeifWatson
c/oWatsonsMartialArts,3118SpringdaleRoad,Cincinnati,OH45251

PREREGISTRATIONPRICE=$50for2events,$55for3events
IFPOSTMARKEDBYMay5,2012
IfpostmarkedbetweenMay8toMay14th=$65for2events,$70for3events
OnsiteRegistration=$80for1,2or3events

EntryForm
CompetitorInformation

Name:____________________________________Age:______M/FWeight:______Rank:_______GUP/DAN
Address:_________________________________________________________________Apt#__________________
City_______________________________________________State:__________________Zip:__________________
Phone:__________________________________________email:_________________________________________
School/ClubName:____________________________________________Instructor:__________________________
School/ClubAddress:__________________________________________Phone:_____________________________
City_______________________________________________State:__________________Zip:__________________
EmergencyContact:___________________________________________Phone:_____________________________
Pleasecheckallthatapply:

_____Forms_____Breaking_____Sparring

TotalNumberofEvents_______TotalCost__________

ReleaseofLiability

Iagreetothefollowingtermsandconditionsandconsiderationforcompetitioninthe2012UltimateTaekwondoCompetitionand
itsaffiliates,associates,competitors,referees,andinstructors.
1)Studentagreestoabidebytherulesandregulationsassociatedwiththe2012UltimateTaekwondoCompetition.
2)StudentacknowledgesthatTaekwondoKarateisahighcontact,inherentlydangeroussportwherecontacttothehead,chest,
andotherpartsofthebodyisactuallyandencouragedbytherules.Studentthereforeacknowledgetheexistenceofriskand
personalinjuryinparticipatinginsaideventofferedbytheWatsonsMartialArtsandassumesallriskofpersonalinjurywithout
liabilitytotheRossLocalSchoolDistrictorWatsonsMartialArts(asdefinedabove).Byexecutingthiscontractandparticipatingin
saidevent,thecompetitoragreestorelease,discharge,andholdharmless,theRossLocalSchoolDistrictortheWatsonsMartial
Artsasdefinedabove,itsowners,agents,employees,instructors,competitors,referees,volunteers,andotherstudentsfromall
liability,claims,andactionswhetherknownorunknownforeseen,orunforeseen,patent,orlatent,forphysicalinjuryorlossof
anysort,includingdamagetopersonorpropertyinconnectionwiththestudentsparticipatinginthe2012UltimateTaekwondo
Competition.
Iconsentthatanypicturesfurnishedbymeoranypicturestakenofmeinconnectionwiththetournamentcanbeusedfor
publicity,promotion,ortelevisionshowing,andIwaiveanycompensationinregardthereto.Mysignatureconstitutesmy
agreementtothisrelease.(Ifunder18,ReleasemustbesignedbyParentorLegalGuardian).Ialsounderstandthereare
absolutelyNOrefunds.

_______________________________________________or_________________________________________
STUDENTParent/Guardian(ifunder18)

DATE:_____________________________________________