TKA USA Home Page - Karate, Kung Fu, Tai Chi, Wushu, Shaolin, Shaolin Monk in Southeast Texas American Top Team Beaumont, Texas - Home Page
409-892-9352
7310 Hwy 105

Beaumont, Texas 77713

REGISTRATION

Please enter the required information and press the "Submit Registration" button when finish.  Remember to use the Division Chart (bottom of this page) to input the correct Code Numbers below to insure the event you are competing in is accurate.  IMPORTANT .... Make sure to also submit your payment and follow the directions on the next page. 


Please Note:  Once you Submit the Online Registration you will need to send payment using PayPal (following page after registration). Any online registration without payment will not be processed.  Make sure you include the competitor's name when sending your Paypal payment in the comment box. We do not send email confirmation when you submit your registration if there is no payment, so there is no need to contact us. We will match your Paypal with your registration.  Any problems we will contact you by Email if there is no Paypal payment sent.  As a precaution, please print and bring a copy of the Paypal reciepts with you on the day of the event.    

Thank You 

 

 

Use the reference sheet below to fill out this form.
Email

If more than one email use commas
First Name
Last Name
Belt/Rank
Competitor First and Last Name
Date of Birth Example: 2/11/01
Age as of Jan 1st of 2016
Sex Choose
Weight
Address
Phone
School Name
School Address
School Phone
First Event
$35 for 1 events (Type Code Number) Example: U/S-50,
Additional Event
$20 Additional (List Code Number) Example: W-11, BC-1
Demo Division
$20 (Everyone gets a Trophy) starts at 9 am
Number of Spectator Pass(es)
$10 each (include day and night pass)
Number of VIP Spectator(s)
$20 each - Spectator Ringside Access Pass
Tournament T-Shirt(s)
$15 each - Choose your size
TOTAL=
(Add up total fees)

Grand Total Owed
 

PLEASE MAKE NOTE OF THE TOTAL AND USE IT ON THE NEXT PAGE TO MAKE THE PAYMENT!!!
  
Liability Waiver:  By submitting the registration online I, the undersigned, do hereby release Mike Berryhill, Texas Karate Academy, and all other persons associated with this event in any capacity, from any liability due to injuries, etc. that may incur as a result of my attendance or that of my child, and/or participation at the Karate Championships event.

Furthermore, I hereby permanently waive any compensation whatsoever for the use of picture, videos, media coverage, etc. utilized by those associated with this event which may be used for profit making purposes, I clearly understand the fighting aspect of this sport and competition involves bodily contact.  I have read, understand and agree to abide by the rules associated with events and assume all responsibility and any associated liability for infringement of such rules. Additionally, I am fully aware of my personal medical condition and hereby certify that I am mentally and physically fit to compete at this tournament and also understand that a valid birth certificate should be present to compete at the Tournament.
    Download the entire registration form with rules here for your records and reference.
      

 

    Download the entire registration form with rules here for your records and reference.

 

 

Texas Karate Academy TKA - TKAUSA.com www.TKAUSA.com

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