2019 SummerFest - Master's Graduation

00109

2019 SummerFest - Master's Graduation 00109
$25 In stock
First Name
Last Name
Sensei
Birthdate
Email
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Do you have any physical injury or concerns (injury, allergy, ect.) that we should be aware of?
In consideration of your acceptance of my entry, I do hereby for myself, my heirs, executors and administrations waive, release and discharge the International Uechi-ryu Karate Federation and the Uechiryu Butokukai and/or their departments, officers, agents, representatives, successors and/or assigns and against any participants for any and all damages which may be sustained by me in connection with my association with or entry in this athletic competition, or which may arise out of my traveling to, participating in, or returning from said athletic event. I consent to any photos and videos of my person to be used for any future projects and marketing material. I hereby agree to the above terms. (0)
Name of Parent/Guardian of underage participant.