1. 2019 Universal Martial Arts Institute Invitational Good Will Games
Date: Sunday, April 28,2019
Place: Long Pond School, 707 Limecrest Rd., Newton N.J
Time: Registration 10:30 AM Elimination's begin at 11:00 AM
Fee: One Event $ Two Events $ Three+ Events $90.00
Participant Registration:
Name ___________________________________________ Gender: Male Female
Date of Birth ___/___/___ Age _______ Height _______ Weight _______
Belt (Specify Color Only): ________________________ Dan (Black Belts Only) ______
Address ___________________________City ________________State_____Zip_______
_________________________________________________
School & Instruction Information:
School Name: ____________________________________ Tel: (___) _____________
Instructor’s Name: ______________________________________ Rank: _______ Dan
School Address (in full) __________________________________________________
I wish to compete in the following events: Breaking Sparring Forms (Poomse/Hyung) Weapons
I submit my application/registration for the 2019 Universal Martial Arts Institute Invitational Good Will Games. I agree to waive claims against any persons, school or associations connected with the tournament for any injuries I may sustain. I will assume full responsibility for all my actions in connection with the tournament. I further agree that any pictures taken of or by me in connection with the tournament can be used by the tournament’s Director for Publicity promotional use without compensation at this time or any other time. No refunds
Signature ________________________________________ Date ______________________
Guardian’s signature required if participant is Under 18 years of age.
WEAPONS
Name ______________________________
School _____________________________
Rank ______________________________
Age ______________ Weight __________
SCORE
1ST 2ND 3RD 4TH
5TH 6TH 7TH Final
BREAKING
Name ______________________________
School _____________________________
Rank ______________________________
Age ______________ Weight __________
SCORE
1ST 2ND 3RD 4TH
5TH 6TH 7TH Final
FORMS
Name ______________________________
School _____________________________
Rank ______________________________
Age ______________ Weight __________
SCORE
1ST 2ND 3RD 4TH
5TH 6TH 7TH Final
SPARRING
Name ______________________________
School _____________________________
Rank ______________________________
Age ______________ Weight __________
SCORE
1ST 2ND 3RD 4TH
5TH 6TH 7TH Final