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Page 1: CREATIVE WEAPON KATAtheleaguema.com/wp-content/uploads/2020/12/2021-Feb-In... · 2021. 1. 24. · CREATIVE WEAPON KATA (NO TRADITIONAL KATAS ALLOWED OR MUSIC) Div# Age Rank Gender
Page 2: CREATIVE WEAPON KATAtheleaguema.com/wp-content/uploads/2020/12/2021-Feb-In... · 2021. 1. 24. · CREATIVE WEAPON KATA (NO TRADITIONAL KATAS ALLOWED OR MUSIC) Div# Age Rank Gender

CREATIVE WEAPON KATA (NO TRADITIONAL KATAS ALLOWED OR MUSIC)Div# Age Rank GenderCW-1 7- Nov boys / girlsCW-2 7- Int boys / girlsCW-3 7- Non-Bladed Adv/Blk boys / girlsCW-4 7- Bladed Adv/Blk boys / girlsCW-5 8-9 Nov boys / girlsCW-6 8-9 Int boys / girlsCW-7 8-9 Adv boys / girlsCW-8 8-9 Non-Bladed Blk boys / girlsCW-9 8-9 Bladed Blk boys / girlsCW-10 10-11 Nov boys / girlsCW-11 10-11 Int boys / girlsCW-12 10-11 Adv boys / girlsCW-13 10-11 Non-Bladed Blk boys / girlsCW-14 10-11 Bladed Blk boys / girlsCW-15 12-13 Nov boys / girlsCW-16 12-13 Int boys / girlsCW-17 12-13 Adv boys / girlsCW-18 12-13 Non-Bladed Blk boys / girlsCW-19 12-13 Bladed Blk boys / girlsCW-20 14-15 Nov boys / girlsCW-21 14-15 Int boys / girlsCW-22 14-15 Adv boys / girlsCW-23 14-15 Non-Bladed Blk boys / girlsCW-24 14-15 Bladed Blk boys / girlsCW-25 16-17 Nov boys / girlsCW-26 16-17 Int boys / girlsCW-27 16-17 Adv boys / girlsCW-28 16-17 Non-Bladed Blk boys / girlsCW-29 16-17 Bladed Blk boys / girlsCW-30 18+ N/I/A Men / WomenCW-31 18+ Non-Bladed Blk Men / WomenCW-32 18+ Bladed Blk Men / WomenCW-33 35+ Non-Bladed Blk Men / WomenCW-34 35+ Bladed Blk Men / WomenCW-35 50+ Non-Bladed Blk Men / WomenCW-36 50+ Bladed Blk Men / Women

MUSICAL CREATIVE WEAPON KATA (NO TRADITIONAL KATAS ALLOWED)Div# Age Rank GenderMW-1 7- Nov boys / girlsMW-2 7- Int boys / girlsMW-3 7- Non-Bladed Adv/Blk boys / girlsMW-4 7- Bladed Adv/Blk boys / girlsMW-5 8-9 Nov boys / girlsMW-6 8-9 Int boys / girlsMW-7 8-9 Adv boys / girlsMW-8 8-9 Non-Bladed Blk boys / girlsMW-9 8-9 Bladed Blk boys / girlsMW-10 10-11 Nov boys / girlsMW-11 10-11 Int boys / girlsMW-12 10-11 Adv boys / girlsMW-13 10-11 Non-Bladed Blk boys / girlsMW-14 10-11 Bladed Blk boys / girlsMW-15 12-13 Nov boys / girlsMW-16 12-13 Int boys / girlsMW-17 12-13 Adv boys / girlsMW-18 12-13 Non-Bladed Blk boys / girlsMW-19 12-13 Bladed Blk boys / girlsMW-20 14-15 Nov boys / girlsMW-21 14-15 Int boys / girlsMW-22 14-15 Adv boys / girlsMW-23 14-15 Non-Bladed Blk boys / girlsMW-24 14-15 Bladed Blk boys / girlsMW-25 16-17 Nov boys / girlsMW-26 16-17 Int boys / girlsMW-27 16-17 Adv boys / girlsMW-28 16-17 Non-Bladed Blk boys / girlsMW-29 16-17 Bladed Blk boys / girlsMW-30 18+ N/I/A Men / WomenMW-31 18+ Non-Bladed Blk Men / WomenMW-32 18+ Bladed Blk Men / WomenMW-33 35+ Non-Bladed Blk Men / WomenMW-34 35+ Bladed Blk Men / WomenMW-35 50+ Non-Bladed Blk Men / WomenMW-36 50+ Bladed Blk Men / Women

TRADITIONAL WEAPON KATA (NO MUSIC ALLOWED)Div# Age Rank GenderW-20 14-15 Nov boys / girlsW-21 14-15 Int boys / girlsW-22 14-15 Adv boys / girlsW-23 14-15 Non-Bladed Blk boys / girlsW-24 14-15 Bladed Blk boys / girlsW-25 16-17 Nov boys / girlsW-26 16-17 Int boys / girlsW-27 16-17 Adv boys / girlsW-28 16-17 Non-Bladed Blk boys / girlsW-29 16-17 Bladed Blk boys / girlsW-30 18+ N/I/A Men / WomenW-31 18+ Non-Bladed Blk Men / WomenW-32 18+ Bladed Blk Men / WomenW-33 35+ Non-Bladed Blk Men / WomenW-34 35+ Bladed Blk Men / WomenW-35 50+ Non-Bladed Blk Men / WomenW-36 50+ Bladed Blk Men / Women

CREATIVE KATA (NO TRADITIONAL KATAS ALLOWED OR MUSIC)Div# Age Rank GenderC-1 7- Nov boys / girlsC-2 7- Int boys / girlsC-3 7- Adv/Blk boys / girlsC-4 8-9 Nov boys / girlsC-5 8-9 Int boys / girlsC-6 8-9 Adv boys / girlsC-7 8-9 Blk boys / girlsC-8 10-11 Nov boys / girlsC-9 10-11 Int boys / girlsC-10 10-11 Adv boys / girls C-11 10-11 Blk boys / girlsC-12 12-13 Nov boys / girlsC-13 12-13 Int boys / girlsC-14 12-13 Adv boys / girls C-15 12-13 Blk boys / girls C-16 14-15 Nov boys / girlsC-17 14-15 Int boys / girlsC-18 14-15 Adv boys / girlsC-19 14-15 Blk boys / girlsC-20 16-17 Nov boys / girlsC-21 16-17 Int boys / girlsC-22 16-17 Adv boys / girlsC-23 16-17 Blk boys / girls C-24 18+ N/I/A Men / WomenC-25 18+ Blk Men / WomenC-26 35+ Blk Men / WomenC-27 50+ Blk Men / Women

MUSCIAL CREATIVE KATA (NO TRADITIONAL KATAS ALLOWED)Div# Age Rank GenderMK-1 7- Nov boys / girlsMK-2 7- Int boys / girlsMK-3 7- Adv/Blk boys / girlsMK-4 8-9 Nov boys / girlsMK-5 8-9 Int boys / girlsMK-6 8-9 Adv boys / girlsMK-7 8-9 Blk boys / girlsMK-8 10-11 Nov boys / girlsMK-9 10-11 Int boys / girlsMK-10 10-11 Adv boys / girls MK-11 10-11 Blk boys / girlsMK-12 12-13 Nov boys / girlsMK-13 12-13 Int boys / girlsMK-14 12-13 Adv boys / girls MK-15 12-13 Blk boys / girls MK-16 14-15 Nov boys / girlsMK-17 14-15 Int boys / girlsMK-18 14-15 Adv boys / girlsMK-19 14-15 Blk boys / girlsMK-20 16-17 Nov boys / girlsMK-21 16-17 Int boys / girlsMK-22 16-17 Adv boys / girlsMK-23 16-17 Blk boys / girls MK-24 18+ N/I/A Men / WomenMK-25 18+ Blk Men / WomenMK-26 35+ Blk Men / WomenMK-27 50+ Blk Men / Women

TRADITIONAL KATADiv# Age Style Rank GenderK-1 5- All Styles All Ranks boys / girlsK-2 6-7 Ken/Kaju Nov boys / girlsK-3 6-7 Ken/Kaju Int boys / girlsK-4 6-7 Ken/Kaju Adv/Blk boys / girlsK-5 6-7 J/K/O/TKD Nov boys / girlsK-6 6-7 J/K/O/TKD Int boys / girlsK-7 6-7 J/K/O/TKD Adv/Blk boys / girlsK-8 8-9 Ken/Kaju Nov boys / girlsK-9 8-9 Ken/Kaju Int boys / girlsK-10 8-9 Ken/Kaju Adv boys / girlsK-11 8-9 Ken/Kaju Blk boys / girlsK-12 8-9 J/K/O/TKD Nov boys / girlsK-13 8-9 J/K/O/TKD Int boys / girlsK-14 8-9 J/K/O/TKD Adv boys / girlsK-15 8-9 J/K/O/TKD Blk boys / girlsK-16 10-11 Ken/Kaju Nov boys / girlsK-17 10-11 Ken/Kaju Int boys / girlsK-18 10-11 Ken/Kaju Adv boys / girlsK-19 10-11 Ken/Kaju Blk boys / girlsK-20 10-11 J/K/O/TKD Nov boys / girlsK-21 10-11 J/K/O/TKD Int boys / girlsK-22 10-11 J/K/O/TKD Adv boys / girlsK-23 10-11 J/K/O/TKD Blk boys / girlsK-24 12-13 Ken/Kaju Nov boys / girlsK-25 12-13 Ken/Kaju Int boys / girlsK-26 12-13 Ken/Kaju Adv boys / girlsK-27 12-13 Ken/Kaju Blk boys / girlsK-28 12-13 J/K/O/TKD Nov boys / girlsK-29 12-13 J/K/O/TKD Int boys / girlsK-30 12-13 J/K/O/TKD Adv boys / girlsK-31 12-13 J/K/O/TKD Blk boys / girlsK-32 14-15 Ken/Kaju Nov boys / girlsK-33 14-15 Ken/Kaju Int boys / girlsK-34 14-15 Ken/Kaju Adv boys / girlsK-35 14-15 Ken/Kaju Blk boys / girlsK-36 14-15 J/K/O/TKD Nov boys / girlsK-37 14-15 J/K/O/TKD Int boys / girlsK-38 14-15 J/K/O/TKD Adv boys / girlsK-39 14-15 J/K/O/TKD Blk boys / girlsK-40 16-17 Ken/Kaju Nov boys / girlsK-41 16-17 Ken/Kaju Int boys / girlsK-42 16-17 Ken/Kaju Adv boys / girlsK-43 16-17 Ken/Kaju Blk boys / girlsK-44 16-17 J/K/O/TKD Nov boys / girlsK-45 16-17 J/K/O/TKD Int boys / girlsK-46 16-17 J/K/O/TKD Adv boys / girlsK-47 16-17 J/K/O/TKD Blk boys / girlsK-48 18+ Ken/Kaju Nov Men / WomenK-49 18+ Ken/Kaju Int Men / WomenK-50 18+ Ken/Kaju Adv Men / WomenK-51 18+ Ken/Kaju Blk MenK-52 18+ Ken/Kaju Blk WomenK-53 18+ J/K/O/TKD Nov Men / WomenK-54 18+ J/K/O/TKD Int Men / WomenK-55 18+ J/K/O/TKD Adv Men / WomenK-56 18+ Jap/Okinawan Blk MenK-57 18+ Jap/Okinawan Blk WomenK-58 18+ Korean/TKD Blk MenK-59 18+ Korean/TKD Blk WomenK-60 35+ Ken/Kaju Nov Men / WomenK-61 35+ Ken/Kaju Int/Adv Men / WomenK-62 35+ Ken/Kaju Blk Men / WomenK-63 35+ J/K/O/TKD Nov Men / WomenK-64 35+ J/K/O/TKD Int/Adv Men / WomenK-65 35+ Korean/TKD Blk Men / WomenK-66 35+ Jap/Okinawan Blk Men / WomenK-67 50+ Ken/Kaju Blk Men / WomenK-68 50+ Korean/TKD Blk Men / WomenK-69 50+ Jap/Okinawan Blk Men / Women

TRADITIONAL WEAPON KATA (NO MUSIC ALLOWED)Div# Age Rank GenderW-1 7- Nov boys / girlsW-2 7- Int boys / girlsW-3 7- Non-Bladed Adv/Blk boys / girlsW-4 7- Bladed Adv/Blk boys / girlsW-5 8-9 Nov boys / girlsW-6 8-9 Int boys / girlsW-7 8-9 Adv boys / girlsW-8 8-9 Non-Bladed Blk boys / girlsW-9 8-9 Bladed Blk boys / girlsW-10 10-11 Nov boys / girlsW-11 10-11 Int boys / girlsW-12 10-11 Adv boys / girlsW-13 10-11 Non-Bladed Blk boys / girlsW-14 10-11 Bladed Blk boys / girlsW-15 12-13 Nov boys / girlsW-16 12-13 Int boys / girlsW-17 12-13 Adv boys / girlsW-18 12-13 Non-Bladed Blk boys / girlsW-19 12-13 Bladed Blk boys / girls

CONTINUED ON NEXT COLUMN

Page 3: CREATIVE WEAPON KATAtheleaguema.com/wp-content/uploads/2020/12/2021-Feb-In... · 2021. 1. 24. · CREATIVE WEAPON KATA (NO TRADITIONAL KATAS ALLOWED OR MUSIC) Div# Age Rank Gender

CREATIVE WEAPON KATA (NO TRADITIONAL KATAS ALLOWED OR MUSIC)Div# Age Rank GenderCW-1 7- Nov boys / girlsCW-2 7- Int boys / girlsCW-3 7- Non-Bladed Adv/Blk boys / girlsCW-4 7- Bladed Adv/Blk boys / girlsCW-5 8-9 Nov boys / girlsCW-6 8-9 Int boys / girlsCW-7 8-9 Adv boys / girlsCW-8 8-9 Non-Bladed Blk boys / girlsCW-9 8-9 Bladed Blk boys / girlsCW-10 10-11 Nov boys / girlsCW-11 10-11 Int boys / girlsCW-12 10-11 Adv boys / girlsCW-13 10-11 Non-Bladed Blk boys / girlsCW-14 10-11 Bladed Blk boys / girlsCW-15 12-13 Nov boys / girlsCW-16 12-13 Int boys / girlsCW-17 12-13 Adv boys / girlsCW-18 12-13 Non-Bladed Blk boys / girlsCW-19 12-13 Bladed Blk boys / girlsCW-20 14-15 Nov boys / girlsCW-21 14-15 Int boys / girlsCW-22 14-15 Adv boys / girlsCW-23 14-15 Non-Bladed Blk boys / girlsCW-24 14-15 Bladed Blk boys / girlsCW-25 16-17 Nov boys / girlsCW-26 16-17 Int boys / girlsCW-27 16-17 Adv boys / girlsCW-28 16-17 Non-Bladed Blk boys / girlsCW-29 16-17 Bladed Blk boys / girlsCW-30 18+ N/I/A Men / WomenCW-31 18+ Non-Bladed Blk Men / WomenCW-32 18+ Bladed Blk Men / WomenCW-33 35+ Non-Bladed Blk Men / WomenCW-34 35+ Bladed Blk Men / WomenCW-35 50+ Non-Bladed Blk Men / WomenCW-36 50+ Bladed Blk Men / Women

MUSICAL CREATIVE WEAPON KATA (NO TRADITIONAL KATAS ALLOWED)Div# Age Rank GenderMW-1 7- Nov boys / girlsMW-2 7- Int boys / girlsMW-3 7- Non-Bladed Adv/Blk boys / girlsMW-4 7- Bladed Adv/Blk boys / girlsMW-5 8-9 Nov boys / girlsMW-6 8-9 Int boys / girlsMW-7 8-9 Adv boys / girlsMW-8 8-9 Non-Bladed Blk boys / girlsMW-9 8-9 Bladed Blk boys / girlsMW-10 10-11 Nov boys / girlsMW-11 10-11 Int boys / girlsMW-12 10-11 Adv boys / girlsMW-13 10-11 Non-Bladed Blk boys / girlsMW-14 10-11 Bladed Blk boys / girlsMW-15 12-13 Nov boys / girlsMW-16 12-13 Int boys / girlsMW-17 12-13 Adv boys / girlsMW-18 12-13 Non-Bladed Blk boys / girlsMW-19 12-13 Bladed Blk boys / girlsMW-20 14-15 Nov boys / girlsMW-21 14-15 Int boys / girlsMW-22 14-15 Adv boys / girlsMW-23 14-15 Non-Bladed Blk boys / girlsMW-24 14-15 Bladed Blk boys / girlsMW-25 16-17 Nov boys / girlsMW-26 16-17 Int boys / girlsMW-27 16-17 Adv boys / girlsMW-28 16-17 Non-Bladed Blk boys / girlsMW-29 16-17 Bladed Blk boys / girlsMW-30 18+ N/I/A Men / WomenMW-31 18+ Non-Bladed Blk Men / WomenMW-32 18+ Bladed Blk Men / WomenMW-33 35+ Non-Bladed Blk Men / WomenMW-34 35+ Bladed Blk Men / WomenMW-35 50+ Non-Bladed Blk Men / WomenMW-36 50+ Bladed Blk Men / Women

For more information Please visit us at:

www.theleaguema.com

Our Policy: No Refunds, UNDER ANY CIRCUMSTANCES. Once registered, No refunds or division switching. Please don’t ask.

Tournament Start Time: The tournament will start at Pacific Standard Time via the ZOOM Platform.It is your responsibility to be available for all your divisions at their correct ZOOM rings when they begin. Very Important please pay attention to your ring assignments.

GET READY FOR THE LEAGUE VIRTUAL LEAGUE SEASONREGISTRATION INFO: [email protected] Martial Arts event is open to Competitors all over the WORLD The LEAGUE Presents The Virtual Championships Series (Via ZOOM) Zoom ID: TBACheck in time: Saturday 9:30 am pacific standard timeBeautiful Custom Championship awards for all 1st, 2nd & 3rd places and Grands

AWARDS INFORMATION:**** The LEAGUE will COVER shipping cost to all within the 50 U.S.****Competitors Out of the USA. (Competitors are responsible for all shipping cost for their awards)

Traditional Kata & Traditional Weapons Grands7 yrs - All Ranks8-9 yrs Beg/Int8-9 yrs Adv/Blk10-11 yrs Beg/Int10-11 yrs Adv/Blk12-13 yrs Beg/Int12-13 yrs Adv/Blk14-15 yrs Beg/Int14-15 yrs Adv/Blk16-17 yrs Beg/Blk16-17 yrs Adv/Blk18+ yrs Beg/Int/Adv18+ yrs Blk35+ yrs BlkCreative/Musical Kata & Creative/Musical Weapons Grands7 yrs - All Ranks8-9 yrs Beg/Int8-9 yrs Adv/Blk10-11 yrs Beg/Int10-11 yrs Adv/Blk12-13 yrs Beg/Int12-13 yrs Adv/Blk14-15 yrs Beg/Int14-15 yrs Adv/Blk16-17 yrs Beg/Blk16-17 yrs Adv/Blk18+ yrs Beg/Int/Adv18+ yrs Blk35+ yrs BlkSanctioned by The LEAGUEKEY NOTES:*Make sure you have good connectivity to internet*Make sure you keep a good distance from the camera so that you don’t get cut off of the screen*Find space to do your forms, when possible your dojo, garage, your backyard or local parks*For cameras you can use laptops, iPads or your phone, but try to have stabilization for cameras to prevent shaking, you can use Tripods*For multiple competitors in different age groups have multiple cameras set up for the different ZOOM ROOMS

Belt Division BreakdownNov: White, Yellow, Gold, OrangeInt: Purple, Blue, GreenAdv: Red, BrownBlk: Black

First Time Divisions are design for competitors that have 1 year or less of training, No Exceptions!

DEMO TEAM KATADiv# Age Rank GenderDEMO-1 ALL All Ranks M/F

SYNCHRONIZED TEAM KATADiv# Age Style Rank GenderSTK-1 17- Trad. All Ranks M/FSTK-2 18+ Trad. All Ranks M/FSTK-3 17- Choreo. All Ranks M/FSTK-4 18+ Choreo. All Ranks M/F

SELF-DEFENSE Traditional & ChoreographedDiv# Age Style Rank GenderSD-1 17- Trad. All Ranks boys / girlsSD-2 18+ Trad. All Ranks boys / girlsSD-3 17- Choreo. All Ranks boys / girlsSD-4 18+ Choreo. All Ranks boys / girls

FIRST TIME KATADiv# Age Rank GenderFTK-1 7- All Ranks boys / girlsFTK-2 8-9 All Ranks boys / girlsFTK-3 10-11 All Ranks boys / girls

FIRST TIME WEAPON KATADiv# Age Rank GenderFTW-1 7- All Ranks boys / girlsFTW-2 8-9 All Ranks boys / girlsFTW-3 10-11 All Ranks boys / girls

FIRST TIME CREATIVE / MUSICAL KATADiv# Age Rank GenderFTC-1 7- All Ranks boys / girlsFTC-2 8-9 All Ranks boys / girlsFTC-3 10-11 All Ranks boys / girls

Page 4: CREATIVE WEAPON KATAtheleaguema.com/wp-content/uploads/2020/12/2021-Feb-In... · 2021. 1. 24. · CREATIVE WEAPON KATA (NO TRADITIONAL KATAS ALLOWED OR MUSIC) Div# Age Rank Gender

Final Pre Registration deadline:FEBRUARY 18th - SAVE$$$

REGISTRATION MUST BE POSTMARKED BY PRE REG DATES FOR PRE REG PRICES TO BE HONORED ~ THANK YOU!Make Copies Of This Registration Form - Please Print Clearly - One Form Per Competitor - Please Print Clearly - Make Copies Of This Registration Form

DEADLINES, FEES & PAYMENT INFORMATION:

RCVD:________/________ AMT: $__________ #:_____________ Processed by____________

POSITIVELY NO REFUNDS - PLEASE DON’T ASK

To be filled in by LEAGUE Staff ONLY.

Example- K-55

1_____________2_____________3_____________4_____________5_____________6_____________7_____________8___________9___________

Last Name:____________________________________ First:_____________________ M/F:____

Rank: (Circle) NOV INT ADV BLK EMail:_____________________________________________

Birthdate:______/______/______ Competition Age (as of 1/1/2021):_____________

Address:_______________________________City:________________ST:_____Zip:__________

Home Ph:_______-________-__________ Emergency Ph:_____-_______-____________

Instructor:_______________________________ Team:___________________________________

School:__________________________________ School Ph:________-__________-___________

2021 REGISTRATION FORM

2021 Checklist - DID YOU:

Fill in the correct division #’s @ BOX 2 (Double check! The LEAGUE is not responsible for divisional entry errors. Absolutely NO AT DOOR Division Switching.)Sign the release on this enrollment form Make M.O./Checks for correct amount payable to: THERESA KATTENGELLMail THIS FORM, & PAYMENT to: 219 Laumer Ave must be postmarked by Jan.7th San Jose, CA 95127if mailing payment.

mm dd yyyy

Please!! DO NOT Staple Payment Together. Use Paper Clip - THANK YOU

COMPETITORS & PARENTS PLEASE READ & SIGN BELOW

STAFF/ OFFICIALS MUST ALSO SIGN THIS WAIVER

For information please email: [email protected]

I, hereby waive any and all rights or claims I may have against The LEAGUE, it’s staff, vendor’s, volunteers or Sponsors, all The LEAGUE Tournament Promoters, all The LEAGUE 2021 Season Sanctioned Tournaments, and all their agents, servants & employees, and I hereby release & discharge them from any and all claims resulting from injuries, including death, damages or loss, which may accrue to me or my heirs arising out of or in any way connected with my attendance &/or participation at any The LEAGUE sanctioned event. I represent and warrant that I am physically and mentally fit, able to participate, & I do hereby assume responsibility for my own well-being, understanding that participation involves bodily contact. I have read, understand and agree to abide by The LEAGUE rules associated with The LEAGUE events & assume all responsibility & any liability for infringement of such rules & agree to accept the tournament arbitrator’s decision as final. I consent to allow any reproductions of me or likeness created in any manner whatsoever, photographed, filmed or video taped in connection with The LEAGUE events which can be used for instruction, publicity, promotion or television broadcast & I waive any & all compensation in regards thereto. I agree that I have obtained permission from the artists of any music I use in conjunction with my competition & verify by signing this permission that in doing such, I will indemnify, defend & hold harmless all the above named parties from any liability for use of such music & that this artist’s permission permits the above named parties to use such music in recorded performances of myself for instructional purposes, publicity, promotion, video &/or televised broadcast & I waive any & all compensation for such.

__________________________________________________________________________________/_____/ 2021Competitor or Parent/Guardian Signature Assuming responsibility if under 18 DATE

COMPETITORS INFORMATION:

COMPETITORS FEB. 10th FEB.18th QTY X ___ COST = TOTALFirst Division $30 $40 1 X $____ = $_________

Each Additional $15 $20 ______ X $____ = $_________

Sync Team, Self Defense $35 $50 ______ X $____ = $_________

Demo Forms $40 $50 ______ X $____ = $_________ TOTAL DUE = $_________

Payments accepted electronically via VENMO at: Theresa Rodriguez Kattengell

PAYPAL at: [email protected]

POSITIVELY NO REFUNDS UNDER ANY CIRCUMSTANCES - PLEASE DON’T ASK

STAMP

SAVE $$$ BY PRE-REGISTERING

PLATFORM