Event registration- Fairbanks Karate Tournament
Saturday June 3rd - Doors open at 8:30, bow in at 9:30
Suny Broome Community College, Baldwin Gym
Front Street, Binghamton NY
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Participate Name *
Email *
Home Address *
School Name/City/State *
Instructors Name/Rank *
Your Rank/Your age *
Which event(s) will you be participating in? *
Required
Number of spectators attending ($10 each, under 5 free) *
Tournament T-shirt- $18 (Quantity and size)
Release: Myself or my minor student, I hereby warrant that I am in good physical condition and have no disability or impairment preventing me from safe participation. I acknowledge that competition will involve strenuous activity and physical contact and may be hazardous and could result in injury. I acknowledge that I am participating at my own risk and waive any liability as to, and relinquish all rights that I have now or may have in the future against Fairbanks Karate and Master Cathy Fairbanks. In addition, I agree to indemnify and hold Fairbanks Karate and Cathy Fairbanks harmless from and against any and all claims, demands, fines, suits, actions, orders or damages of any kind which may result from my participation. I also release Fairbanks Karate and Cathy Fairbanks from any and all claims which I may hereafter have related to my participation in the tournament.  By printed your name below you consent to the information above. *
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