2008 GARDEN STATE MARTIAL ARTS CHAMPIONSHIPS

DATE: Saturday, May 10th, 2008

PLACE: River Winds Community Center 1000 River Winds Drive Thorofare, NJ 08086

TIME: Registration will be - 9:00 a.m. - Eliminations will be - 11:00 a.m.

ENTRY FEES (at the door) - One or two events: $50.00; Additional Events: $5.00

PRE-REGISTRATION: By 4/30/2008 One or Two Events: $45.00; Additional Events: $5.00

Mailing Address: 560 S. Evergreen Ave. Woodbury, NJ 08096

Name Age Wt. Ht.

Address City State

School / Club Name Tel.

School / Club Address

Instructor’s Name Rank

I submit my application/registration for the 2008, Garden State Invitational Martial Arts Championship. I agree

to waive claims against any person, school or associations connected with the Invitational Championship for any

injuries I may sustain. I will assume full responsibility for all my actions in connection with the championship.

I understand further that I will strictly observe and obey the rules and regulations governing this championship.

I further agree that any pictures taken of or by me in connection with the championship can be used by the

tournament Director for publicity or promotion without compensation at this time or any other time.

NO PERSONAL CHECKS - NO REFUNDS

Signature: Date:

If younger 18 years old, Guardian Signature Date: _______

I WISH TO COMPETE IN THE FOLLOWING EVENTS: (Please check)

BREAKING: SPARRING: WEAPONS ______FORMS _____

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BREAKING WEAPONS

NAME NAME

SCHOOL SCHOOL

RANK RANK

AGE WEIGHT AGE WEIGHT ________________ __

1st 2nd 3rd 4th 1st 2nd 3rd 4th

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SPARRING FORMS

NAME NAME

SCHOOL SCHOOL

RANK RANK

AGE WEIGHT AGE WEIGHT __________

1st 2nd 3rd 4th 1st 2nd 3rd 4th