Paik’s Traditional Martial Arts Presents The ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: 12 th Annual Capitol City Classic Invitational Tournament USAKF North sanctioned event. ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: At the VFW 301 Cottage Grove road Madison, WI Sunday May 22 nd , 2016 9:30 Registration/Sign in 10:30 Tournament Start Form Weapons Form Sparring Team Events – Sparring, Forms Competitors: $50(1-2 Events) $15 each additional. ($10 Late Fee at the Tournament) Team events $30/Team Contact Information Grandmaster Peter S. Paik 601 N. Whitney Way Madison, WI 53705 (608)233-9999 or [email protected]$100 Form Grand Champion!!!
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2016 Capitol City Classic Flyer - Paik's Traditional Martial … · · 2016-04-3012th Annual Capitol City Classic ... Grandmaster Peter S. Paik ... Microsoft Word - 2016 Capitol
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Check which divisions you will be competing in : Traditional Forms _______ Open Forms _______ Weapons Forms _______ Point Sparring _______ Board Breaking – White belts only ________ $50 for first two events, $15 for each additional event, $30 for each Team Event ($5 late fee at the door) Total Fee Enclosed________ (Certified checks or Money orders) Mailed in registrations and checks must be postmarked by May 14th, 2016
Team Registration (Additional Event for those who are registered for Individual Competition) Team Name:____________________________ Sparring Forms Weapons Team Coach_________________ Representing______________________________ Competitors 1. _________________________ belt rank_______ Age___________ 2. _________________________ belt rank_______ Age___________ 3._________________________ belt rank_______ Age___________ Other (RESERVE)______________________________________________________ Entry fee=$30/team
Release form/ Waiver I agree to assume full responsibility for any and all damages, injuries or losses that I may sustain or incur while attending or participation in this tournament. I hereby waiver all claims against the promoters, operators, facilities or sponsors of the event for any claim for injuries that I may sustain. I fully understand any medical treatment given to me will be of FIRST AID TREATMENT only. _________________________ ____________________________________ ______________ Competitor’s Name Parent’s Signature (if competitor is under 18) Date