The "BATTLE OF THE PHOENIX AND GRIFFIN,"  ONLINE MARTIAL ARTS TOURNAMENT, REGISTRATION:

PARTICIPANT'S AGE:

DOJO:

INSTRUCTOR'S NAME:

YOUR EMAIL ADDRESS:

YOUR INSTRUCTOR'S EMAIL ADDRESS:

 

RANK, ie. Black belt: 

DIVSIONS, ( CIRCLE ALL THAT APPLY.)

KATA/TAOLU, EMPTY HAND: TRADITIONAL,   OPEN

WEAPONS KATA/TAOLU: TRADITIONAL,   OPEN 

SELF-DEFENSE DEMONSTRATION

SPARRING: IN-SCHOOL,    INTER-SCHOOL 

BREAKING: WOODEN BOARDS,   CONCRETE BLOCKS 

TYPE OF BREAK(S):

** COMPLETE THE ABOVE REGISTRATION AND SIGN THE WAIVER/RELEASE FORM, BELOW.

** EMAIL THIS COMPLETED, FORM TO: MIKESMULTITRAINING@GMAIL.COM 

** SEND YOUR VENMO PAYMENT TO:

MIKE CARMICHE @MIKE-CARMICHE