Event Pricing*
Price Override
First Name*
Last Name*
Age*
Birth Date
(please format like: 1/2/1997)
Weight
Dojo/School Name*
Instructor Name
IWKA#
Belt* (required)
Divsions
* Select only ONE division if paying the Single Event Price.
NOVICE = White, Yellow and Orange Belts
INTERMEDIATE = Blue and Green Belts
ADVANCED = Purple and Brown Belts
Weapons
Kata
Sparring
Required waiver for this competitor.
Self - Will sign waiver at event.
Parent/gaurdian will sign waiver at event.
Sending signed waiver.
Waiver was sent.
Waiver Received Date
(e.g. 5/1/2009)
