FSK Tournament Registration Form

Four Seasons Karate
Tournament Registration Form


Saturday, May 23, 2009


United Methodist Church
8071 S. State Rd.
Goodrich, MI 48438


8:00 a.m. - 10:00 a.m.

Black Belt Meeting:

9:30 a.m.


10:00 a.m. SHARP!!!

Competitor's Fee:

$45 for 1st event plus $5.00 for each additional event (at the door)

Pre-Registration Fees:

$40 for 1, 2, or 3 events (add $5.00 for each additional event after 3).  
All entries must be post-marked by May 16, 2008.

Spectator's Fee:

$6.00 Adults; $4.00 Children 6-12 yrs.; 5 and under free


1st, 2nd, 3rd, 4th place awards

Make all checks payable to:
Four Seasons Karate
8217 S. State Rd.
Goodrich, MI 48438
(810) 636-8000

Name: _____________________________________________________ Circle:   Male   Female

Address: _____________________________  City:  ___________________________  State: ____  Zip:  ________

Age:  _____  Height:  _____  Ph:  _______________  E-mail:  _________________________________

Instructor: ____________________________________  Club:  ____________________________

Rank or Gup:  ____________________  Belt Color:  _________________________________

By signing this entry, I certify that I will abide by the rules of the Four Seasons Karate Tournament, and that I am of legal age (or, if under 18, have Parental permission).  Furthermore, I waive any and all rights of claims for damages against the promoters, operators, or sponsors of this tournament for any injury or disability resulting from my participation in this tournament.  I understand that any medical treatment given to me will be First Aid treatment only.  I also waive any compensation in regard to any pictures taken of me during this tournament.

Signature (parent, if under 18):  ________________________________________  Date:  ________________

Circle events:        FORMS             POINT SPARRING             WEAPONS