ONLINE Tournament Form

OFFICIAL ONLINE REGISTRATION FORM

The 11th Texas Black Belt Classic Championships – November 3, 2018

Location:  University Of Texas at Arlington – Maverick Activities Center Gym

Entry fee $50* (Covers both forms and fighting divisions). *Additional 3% processing fee (tax) for online payments.

Optional registration and payment by mail or in person at  425 N. Cooper St.  Arlington, Tx. 76011

All entries must be received by Wednesday October 31, 2018

After you fill out the registration form completely and click the “SEND” button, you will be redirected to a payment page to complete registration.

Your registration will not be complete until you pay your entry fee. Only Major debit/credit cards are accepted. A PayPal account is not necessary.

*$10 Late Fee for Entry Forms may be accessed if turned in AFTER DEADLINE DATE

NO REFUNDS



BothForms OnlyFighting Only





MaleFemale





BeginnerIntermediateAdvancedAdult Black Belt


(5-7)(8-9)(10-11)(12-13 Boys)(12-14 Girls)(14-15 Boys)(15-17 Girls)(16-17 Boys)(18-34)(35+)
















In consideration of the privilege of participation in the activities of this martial arts competition(Tournament), I hereby waive any claims against Texas Karate League and its affiliated schools, tournament promoters, officials, all tournament facilities, and personnel or its agents by virtue of any personal or property injury I might sustain. I warrant that I am sufficiently skilled and experienced to enter this tournament and I am fully aware of the risks attendant thereto. I expressly assume all risks of whatsoever nature, kind or description attendant to or resulting from my participation in this Tournament event. I, the undersigned do hereby voluntarily submit my application for attendance and participation in this event (if applicant is under 18 years of age, this release and consent must be signed by parent or legal guardian).

I waive any type of compensation and consent to any photographic and video images taken of me in connection with said tournaments which may be used for publicity, promotion, and marketing purposes by the Texas Karate League and/or its agents. By typing your name below, you accepted all terms and conditions.




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