ALAMANCE OPEN CHAMPIONSHIPS

Saturday, May 18, 2019

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

No Refunds.  

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

  GRAND CHAMPIONSHIPS!                                  Youth Underbelt Kata Grandchampion                              Adult Underbelt Kata Grandchampion                                Youth Black Belt Kata Grandchampion                               17-Under Girls BB Sparring Grandchampion                     17-Under Boys BB Sparring Grandchampion                    

Adult Black Belt Kata Grandchampion                        Adult Women's Black Belt Sparring Grandchampion       Adult Men's Black Belt Sparring Grandchampion

 $$ Cash Awards to Adult Black Belt Grandchampions!!!             

               GRAND CHAMPIONSHIP FINALS!                                                                                         

         For more information about the event:                   Contact Hamilton Perkins (336) 570-9605                       or e-mail:     meka02@aol.com