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    Official Entry Form and Waiver: Santa Rosa School of Martial Arts

    Uploaded by

    Alex Suarez
    The document is an entry form and waiver for the Santa Rosa School of Martial Arts tournament. It lists the contact information for the tournament organizers and for the Shidokan Karate Clan club. The form then provides a table with the names, ages, sexes, weights, belts, and events (kata and/or kumite) for 11 participants from the club. At the bottom is a group waiver signed by the head coach waiving the organizers of any liability for injuries during the competition.

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    Official Entry Form and Waiver: Santa Rosa School of Martial Arts

    Uploaded by

    Alex Suarez
    16 views2 pages
    The document is an entry form and waiver for the Santa Rosa School of Martial Arts tournament. It lists the contact information for the tournament organizers and for the Shidokan Karate Clan club. The form then provides a table with the names, ages, sexes, weights, belts, and events (kata and/or kumite) for 11 participants from the club. At the bottom is a group waiver signed by the head coach waiving the organizers of any liability for injuries during the competition.

    Original Description:

    Skcgjd

    Original Title

    Players-list-for-SKC (1)

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    The document is an entry form and waiver for the Santa Rosa School of Martial Arts tournament. It lists the contact information for the tournament organizers and for the Shidokan Karate Clan club. The form then provides a table with the names, ages, sexes, weights, belts, and events (kata and/or kumite) for 11 participants from the club. At the bottom is a group waiver signed by the head coach waiving the organizers of any liability for injuries during the competition.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    16 views2 pages

    Official Entry Form and Waiver: Santa Rosa School of Martial Arts

    Uploaded by

    Alex Suarez
    The document is an entry form and waiver for the Santa Rosa School of Martial Arts tournament. It lists the contact information for the tournament organizers and for the Shidokan Karate Clan club. The form then provides a table with the names, ages, sexes, weights, belts, and events (kata and/or kumite) for 11 participants from the club. At the bottom is a group waiver signed by the head coach waiving the organizers of any liability for injuries during the competition.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 2

    SANTA ROSA SCHOOL OF MARTIAL ARTS

    TatlongHari St., Brgy. Market Area, City of Santa Rosa Laguna

    OFFICIAL ENTRY FORM AND WAIVER


    DEADLINE OF SUBMISSION IS ON November 9, 2019

    Send thru e-mail: sreisoma@gmail.com

    Contact Number : +639750667164


    CLUB NAME : Shidokan Karate Clan (SKC)

    HEAD COACH : David E. Que

    CONTACT NUMBER : 09216269333

    NAME AGE SEX WEIGHT BELT KATA KUMITE


    1 Alejandro Suarez jr. 33 Male 90 KGS Black √
    2 Nicole Villanueva 17 Female 90 KGS Black √
    3 Joshua Vince Kusano 15 Male 57 KGS Blue √
    4 Warren Ryuji Torio 11 Male 46 KGS Brown √
    5 Summer Levine Oriana 5 Male 35 KGS Blue √
    6 Axel Isaac Loria 7 Male 30 KGS Yellow √ √
    7 Gabriel Marcus Decena 8 Male 34 KGS Blue √ √
    8 Matt Zyrus Ramirez 6 Male 20 KGS Purple √ √
    9 Aeirald Tommy Cunanan 8 Male 34 KGS Blue √ √
    10 Jameela Marley Rubio 8 Female 34 KGS Yellow √
    11
    12
    13
    14
    15

    GROUP WAIVER

    I hereby waive and discharge the organizers and officials of this event to any unforeseen

    Incident or injury that may occur to the players listed above during the competition.

    ________________________
    NAME AND SIGNATURE

    Head Coach

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