Mid-America ISKF Tournament Registration
Mid-America ISKF Regional Tournament
Saturday, April 06, 2024
11:00am
*Deadline to Register is March 30, 2024*
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Email *
First Name *
Last Name *
Cellular Phone Number *
Gender *
Age (at the time of the event) *
Dojo Name *
Belt / Rank *
Youth
Youth Team Kata          
If competing with an adult fill out the Adult Team Kata section
Youth Team Kata Members  
(Filled out by Team Captain Only)
Collegiate
Collegiate Team Kata   
Collegiate Team Kata Members
(Filled out by Team Captain Only)
Adult
Adult/Senior Team Kata
Adult/Senior Team Kata Members
(Filled out by Team Captain Only)
Senior (45 - 54yrs)
Senior (55 - 64yrs)
No Free Sparring
Senior (65yrs +)
No Free Sparring
Renew ISKF Membership
Clear selection
Emergency Contact (Full Name) *
Emergency Contact (Phone Number) *
ISKF Waiver / Release Agreement
In participating in the Mid-America Karate, Inc. International Shotokan Karate Federation (ISKF) Regional Karate Tournament, I understand and accept that:
My participation in the tournament is voluntary.
I understand that there are risks and dangers inherent in martial arts training and in participating in and receiving instruction at the tournament. I assume full responsibility for all risks associated with the tournament, including my personal injury, death, or property damage.
I will not sue or make any demands or claims against Mid-America Karate, Inc., the International Shotokan Karate Federation (ISKF), their officers, directors , instructors, members, judges, officials, representatives, and volunteers or the facility (collectively “Organizers”)   for personal injury or property damages or loss related to my participation in the tournament. THIS WAIVER INCLUDES, BUT IS NOT LIMITED TO, INJURY OR LOSS CAUSED BY, OR ARISING FROM, ORGANIZERS’ NEGLIGENCE.
I am solely responsible for insuring myself and my property at the tournament.
I will pay medical fees or costs related to my participation in the tournament and will not seek reimbursement or contribution from the Organizers.
The Organizers are not responsible for any incidental, consequential, or exemplary damages of any kind even if they are notified in advance that those may occur.
The Organizers or their designees may use my name, image, or likeness in any media relating to the tournament without paying me for that use.
This Agreement is binding on me, my family and heirs and assigns.
By checking the box below for this Agreement, on behalf of my minor child, I agree with all of this Agreement’s terms and that they also apply to me.

I have read this release and understand all of its items. By registering for this tournament and checking the box below for this waiver and release agreement, I agree to all of these terms and conditions.

ISKF Waiver / Release Agreement *
Required
Parental Consent & Release
First Aid
I hereby give permission for the staff at this year’s Mid-America Karate, Inc. International Shotokan Karate Federation (ISKF) Regional Tournament to administer minor first aid or seek emergency medical care for my son/daughter      

During his/her participation at the tournament, I understand that this permission covers the average emergencies such as, but not limited to, strains, sprains, cuts, bruises, scrapes, bumps, skin rashes, minor bites, allergic reactions, upset stomach, diarrhea, minor burns, suspected minor fractures, fevers, and other similar occurrences. This permission is valid only during the tournament.

Emergency Care
If my child needs emergency medical care, I hereby give permission for my child to be treated in the emergency room and by the medical professionals of the hospital or medical center nearest to or most easily accessible to the tournament. This permission includes, but is not limited to, fractures, allergic reactions, minor concussions, contusions, lacerations, foreign bodies in the eyes or skin, fevers, diagnostic x-rays, suturing, minor burns, etc. I also give permission for my child to receive a tetanus booster (if needed). I understand that in cases of major significance, such as a fracture, appendicitis, or any illness or injury which would require admission to a hospital, more consents will be necessary for treatment. If such a situation should arise, I further understand that the hospital and tournament representatives will make every attempt to reach me.
I have accepted  the Waiver and Release for my child.

Parental Consent & Release
Medical Questionnaire (Do you have any of the following conditions) *
Required
Please list any medications you are taking
Please note that we reserve the right to combine certain divisions based on the number of competitors who register for said divisions.
Payment Options *
All payments must be completed online.  We are unable to accept cash or checks. 
You will be directed to our payment page after you click the Submit button below.  
(You will be directed to click on the link that shows up on the payment page)
Your registration will not be processed until the next step has been completed. 
(Please check your method of payment before clicking the submit button.)
Please Note: Only those who are using the MAK Scholarship (those who were awarded the scholarship in December) or Club Scholarship (check with your instructor) can skip the next step, and avoid going to the payment page.
Required
Payment
Please be prepared to pay with a credit card or with PayPal before clicking on the Submit Button.  Thank You!
A copy of your responses will be emailed to the address you provided.
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