World Martial Arts Association

FORMS/SPARRING Spring National Tournament: April 19^th, 2008

Name: _______________________________________________________________________________________

(First) (Middle) (Last)

Address:______________________________________________________________________________________

(Number) (Street) (Apt/Floor)

_____________________________________________________________________________________________

(City) (State) (Zip)

E-mail Address: ________________________________________________________________________________

Phone: ( ) -

Karate Teacher’s Name __________________________________________________________________________

Visit us on the Internet: WMAA.COM

I hereby voluntarily submit my application for attendance and participation in the Tae Kwon Do Tournament sponsored by World Tae Kwon Do of Brooklyn and do hereby assume full responsibility for any and all damages, injuries or losses that I may sustain or incur, if any, while attending or participating, and hereby waive all claims against the promoters, operators, sponsors or facilities management, of said Tae Kwon Do tournament individually or otherwise, for any claim for injuries that I may sustain. I fully understand that any medical treatment given me will be of first aid nature only.

(Please Print) Name: ____________________________________________________________________________

Parent’s Signature_________________________________________________ Date: ________________________

Circle your belt level

Lower Belt: White Yellow Green Purple Brown

Black Belt: 1^st Dan 2^nd Dan 3^rd Dan 4^th Dan

Male Female (circle) Age____________ Height____________ Weight______________

*The Main Event will be held at the Brooklyn Heights Montessori School (185 Court St.)

12 noon to 5pm (doors open at 11am)

Fee for one or two events: $65

Please return your applications to your instructor by April 11^th.

The fee for applying after this day is $75.

Make checks payable to World Tae Kwon Do of Brooklyn