Competitor Age
Name of Competitor
Address (include zipcode)
Phone
Academy
Instructor
Parent/Guardian (if minor) Credit Card Holder
Questions or Comments
I hereby submit my application for registration in the above tournament. I agree to indemnity and save harmless any persons connected with the Tournament, to include Grandmaster Han, his designated agents and the World Youn Wha Ryu Association from all losses caused by accident or injury that I may sustain. Likewise I take full responsibility for all my actions with this tournament. I understand that any pictures taken of me while participating in said tournaments may be used for publicity without compensation
I have read and understood the above
Signed (please type name)
Date (MM/DD/YYYY)
Please Re-enter E-mail Address
Please Enter Number that Appears to the Right
Name on Card
Card Number (please check)
Expiration Date MM/YY
PAYMENT DETAILS
Rank
E-mail Address
Gender
Grandmaster Han's
2010
Tournament Circuit
Northern Missouri Division
Tournament Sat Apr 10th 2010
SouthWest Missouri Division
Tournament Sat May 8th
Competitor
Details
Please Complete All Sections Below
Whether You Are Competing in 1, 2, or 3 Tournaments
Questions? Comments to NMMA@younwha.com
Notes:
No Discount on Breaking Divisions
*  Tshirts should be preordered to ensure availability. Tshirts ordered after the deadline may not be available on day of tournament
Last 3-Digit of code
on back of card
East  Missouri Division
Tournament Sat Apr 24th
1
2
3
Cost will be tallied and you will be sent an invoice
Paper Entry Forms






Please return to
GMHMA
413 Chandler St
Moberly, MO 65270
Online Sign Up
For This Event
Is Closed

Please Sign Up At Tournament

Please complete the information below
Order Spectator Passes
Please Enter Quantity
$4 Each or 3 for $10
Will Be Mailed
Schedule and Driving Directions
Spectator Admission
$4
Weight
Paper Entry Form
Paper Entry Form
Online Sign Up
For This Event
Is Closed

Please Sign Up At Tournament
Online Sign Up
For This Event
Is Closed

Please Sign Up At Tournament