Tournament

2012 St. Jude Children's Hospital Karate Tournament
Presented by Pam Johansen affiliated with USKK Federation and USKK&W
March 31 2012
Christ the King Catholic Church, 25th & Wanamaker Topeka, Kansas
Time Schedule
9:00 Tournament Check-in
10:30 Weapons Kata
Fees
$35.00 for 3 events Day of Event
Pre-registered entries must be received by March 21st to save $5

In consideration of your acceptance of my entry, I do hereby for myself my heirs, executors and administrators, waive, release and forever discharge any and all rights and claims for damages for which I have or may accrue to me, against Mid America Karate Academy, Mid America Karate Open Tournament, and all members of the tournament, or their respective officers, and against any competitor for any and all damages which may be sustained by me in connection with any association with or entry in the above athletic meet, or which may arise out of traveling to, participating in, and returning form such athletic meet.

_____________________________________________________Date____________
Signature of Contestant or Parent/Guardian

Please fill out form online, print then sign and mail to: Mid America Karate Academy-24175 Bison Road-Paxico, KS 66526

Click Here to Download Tournament Flyer PDF