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
2012
Tournament Circuit
Northern Missouri Division
Moberly Sat Apr 14th
SouthWest Missouri Division
Ozark Sat May 5th
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.
Only the North MO Touranment is taking Tshirt Pre Orders
Last 3-Digit of code
on back of card
East Missouri Division
Ste. Genevieve Sat April 21st
1
2
3
Cost will be tallied and you will be sent an invoice
