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Tournament Registration
Tournament Info
Age Group:*
I am competing in the following events:
Individual Kata
Individual Kumite
Team Kumite(adults only)
Team Kata
Event Pricing:*
Tickets:
  Adults Age 13+
Tickets:
  Children Under Age 13
Tickets:
  Stuident w/id
Tickets:
  Family
Grand Total:
Personal Information
E-Mail:*Valid e-mail is required
First Name:*
Last Name:*
Address Line 1:*
Address Line 2:
City:*
State:*
Zip Code:*
Marital Status:
Gender:*
Male Female 
Date of Birth:* mm/dd/yyyy
Phone:*
Instructor Information
Dojo:*
Instructor:*
Date of Birth:* mm/dd/yyyy
Rank:*
Height:*
Weight:*
Gender:*
Male Female 
Credit/Debit Card Information
Card Number:*No dashes or spaces please
Expiration Month:*From your card
Expiration Year:*From your card
Card Brand:*
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