UNITED STATES CHUNG DO KWAN, INC.
BRENDA J. SELL CLASSIC REGISTRATION

Step 1: Information
(This must be filled out and submitted for each competitor, Step 2 is only done once)

NAME:
E-MAIL:
PHONE:
SCHOOL NAME:
SCHOOL INSTRUCTOR:
AGE:
SEX:
Male       Female
HEIGHT:
WEIGHT:
RANK OR BELT:
SANCTIONED EVENTS:
(Choose two - To compete in more than than two events there will be an additional charge for each additional event)
Forms or Keibons    Point Sparring One-Steps

Xtreme Form 1    Xtreme Bo 1    Xtreme Kama 1

Xtreme Form 2    Xtreme Bo 2    Xtreme Kama 2

Xtreme Form 3   Xtreme Bo 3    Xtreme Kama 3

Xtreme Form 4  
NON-SANCTIONED EVENTS:
(Choose two - To compete in more than than two events there will be an additional charge for each additional event)
Black Belt Open Weapons Demo Team Competition ($25 fee) click here for form
Spectator:
(Ault Passes $7 & Children passes $5)
 Adult Spectator Pass    Children 6-12 Spectator Pass
T-Shirt:
(Pre-Order only $12)
Click here for form


I hereby submit my application for registration in THE UNITED STATES CHUNG DO KWAN ASSOCIATION competitions. I agree to waive claims against any persons,  schools, associations, or facilities connected with THE UNITED STATES CHUNG DO KWAN ASSOCIATION, Inc. for any injuries I may sustain and likewise assume full responsibility for all my actions in connection with said competition.  I further agree that any pictures taken of or by me in connection with said competition can be used by the tournament Director for publicity without compensation at this time or at any other time.  If under 18, this release and consent must also be signed by parent or legal guardian.