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REGISTRANT INFORMATION
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Closes at:  2 April 2010 11:59 PM PST
Personal Information:

First Name:
Last Name:
Address1:
Address2:
City:
State:

(If outside USA, enter below the state,
province, district, or area)
 
ZIP:
Country:
Email:
Day Tel:
Night Tel:
Physical Attributes:

Date Of Birth: //
Gender:MaleFemale
Height: ftin
Weight (lbs):
Emergency Contacts:

Name 1:
Phone 1:
Name 2:
Phone 2:
Academy, Gym, or Club:

Instructor(s):
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Academy:
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province, district, or area)
 
ZIP:
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Website:
Telephone:
REGISTERED CATEGORIES
Place a check mark next to each category for which you wish to register. All fields appearing under a label of this color are required for the category.
Adult: 40.00 USD (Enable checkbox to register.)
Continuous Sparring for 18 years and up. Early registration price ends 11:59pm on March 26, 2010. Do not cut weight. Final weight divisions will be announced on the morning of the event.
Division  
Gender
Experience  
Level
Other Info  
Number of years training
Fighting styles
Junior: 40.00 USD (Enable checkbox to register.)
Continuous Sparring for ages 5 and 17 years. Early registration price ends 11:59pm on March 26, 2010. Do not cut weight. Final weight divisions will be announced on the morning of the event.
Division  
Age
Experience  
Level
Other Info  
Number of years training
Fighting styles
INSTRUCTIONS
Do not click the Back or Refresh buttons of the browser. USH Members enter promo code "USH" to receive your discount. Spectator fee is $10 per person, payable in cash at the door.
REVIEW OF CATEGORIES
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