ALAMANCE OPEN CHAMPIONSHIPS
Tournament Begins: 10:00 a.m. SHARP!
Registration Begins: 8:00 a.m.-until your event
Pre-Registration: $55 for three events
(Pre-Register until May 11)
(Mail Pre-Registration Payments to): Atlantic South-P.O. Box 777-Graham, NC 27253
Registration: $60 for three events (cash only)
Note: Competitors May Compete in 3 Events!
Spectators: $5 pre-register-$10 event day
Name_________________________________Age_________ Address_______________________________M/F________ City_______________________State_____ Zip__________ Phone____________________ Belt Rank______________ Beginner___Intermediate___Advanced ___ BB___ Weapons__ Forms__ Spar____ _Instructor____________Coaches Pass___ Spectator Fee___ I the undersigned, voluntarily submit my application and participation in the Alamance Open, and hereby assume for any damages, injuries, and losses that I may sustain while attending and participating. I waive all clains against the promoters, Mid Eastern Karate Association, Atlantic South, Fairchild Recreation Center, and its affiliates for any claim or injury that I may sustain. Signature_____________________parent or guardian 18 under
Fairchild Center-Burlington NC