KARATE-DO FRIENDSHIP CROSS-TRAINING 2022
NOVEMBER 20, 2022 I 1PM-6:30PM
3RD FLOOR SOUTHWOODS MALL BIŇAN-LAGUNA
Cellphone Number: 0926 7831364
I hereby waive all and any claim, right or action which might otherwise have arisen out of any
untoward Incidents in the course of all consequence upon my entry or participation in this
competition. In lieu Hereof, the club and organizers of the competition should not be held liable.
I hereby agree to compete in the above event according to the specified Rules and Regulations.
I hereby give the undertaking that shall not breach any discipline or display unsportsmanship spirit
in the course of the tournament.
Furthermore, I hereby certify that all information given in this form is true and correct to the best
of my ability.
______________________________________
Signature Over Printed Name
(Parent/Guardian 18 Years old and above)
__________________________________
Date
Participants Information:
_______________________
Given Name
______________________
Middle Name
_______________________
Last Name
_______________________
Rank/Kyu
______________________
Age
_______________________
Date of Birth
Male
Female
ENTRY FEE 300Php.
Weight / Kgs _________