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SPARRING |
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BLACK BELTS |
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UNDERBELTS |
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Lightweights |
165 lbs & under |
__ 35 & Up |
Int/Adv |
Men |
__ 12 – 13 |
Advanced |
Girls |
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Heavyweights |
166 lbs & over |
__ 35 & Up |
Int/Adv |
Women |
__ 12 to 13 |
Intermed. |
Boys |
|
__ 35 & Up |
Men/Seniors |
__ 35 & Up |
Beginner |
Men |
__ 12 to 13 |
Intermed. |
Girls |
|
__ 35 & Up |
Women/Seniors |
__ 35 & Up |
Beginner |
Women |
__ 12 to 13 |
Beginner |
Boys |
|
__ 18 to 34 |
Men/Lightweight |
__ 18 to 34 |
Advanced |
Men |
__ 12 to 13 |
Beginner |
Girls |
|
__ 18 to 34 |
Women/Lightweight |
__ 18 to 34 |
Advanced |
Women |
__ 10 to 11 |
Advanced |
Boys |
|
__ 18 to 34 |
Men/Heavyweight |
__ 18 to 34 |
Intermed. |
Men |
__ 10 to 11 |
Advanced |
Girls |
|
__ 18 to 34 |
Women/Heavyweight |
__ 18 to 34 |
Intermed. |
Women |
__ 10 to 11 |
Intermed. |
Boys |
|
__ 16 to 17 |
Boys |
__ 18 to 34 |
Beginner |
Men |
__ 10 to 11 |
Intermed. |
Girls |
|
__ 16 to 17 |
Girls |
__ 18 to 34 |
Beginner |
Women |
__ 10 to 11 |
Beginner |
Boys |
|
__ 14 to 15 |
Boys |
__ 16 to 17 |
Advanced |
Boys |
__ 10 to 11 |
Beginner |
Girls |
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__ 14 to 15 |
Girls |
__ 16 to 17 |
Advanced |
Girls |
__ 8 to 9 |
Advanced |
Boys |
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__ 13 & under |
Boys |
__ 16 to 17 |
Intermed. |
Boys |
__ 8 to 9 |
Advanced |
Girls |
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__ 13 & under |
Girls |
__ 16 to 17 |
Intermed. |
Girls |
__ 8 to 9 |
Intermed. |
Boys |
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__ 16 to 17 |
Beginner |
Boys |
__ 8 to 9 |
Intermed. |
Girls |
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__ 16 to 17 |
Beginner |
Girls |
__ 8 to 9 |
Beginner |
Boys |
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__ 14 to 15 |
Advanced |
Boys |
__ 8 to 9 |
Beginner |
Girls |
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__ 14 to 15 |
Advanced |
Girls |
__ 6 to 7 |
Int/Adv |
Boys |
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__ 14 to 15 |
Intermed. |
Boys |
__ 6 to 7 |
Int/Adv |
Girls |
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__ 14 to 15 |
Intermed. |
Girls |
__ 6 to 7 |
Beginner |
Boys |
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__ 14 to 15 |
Beginner |
Boys |
__ 6 to 7 |
Beginner |
Girls |
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__ 14 to 15 |
Beginner |
Girls |
__ 5 & under |
All |
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__ 12 to 13 |
Advanced |
Boys |
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TEAM NAME: No. of Team Members: ______
INDIVIDUAL TEAM MEMBERS:
____________________________ $5.00
Registration Fee Per Team Member
_______________________________________________________ Total Team Registration Fee = _________
Team Representative:
___________________________________
Phone Number: ______________________
No refunds for NO SHOW Team
Members/Team Member Substitutions Allowed Check
or Money Order
_____________________________________________________________________________________________
Please
read the following and sign. All participants under 18 years of age must
have parent/guardian signature.
The participant/parent/guardian agrees to comply with the rules of the
Wyoming Valley’s Mid-Atlantic Classics.
Participant/parent/guardian
acknowledges that competition in this
event involves physical contact and other
Activity which may cause
injury to the participant. In consideration for allowing the participant to compete in
this event the parent/guardian/participant hereby releases and
waives any and all claims or causes of action against
Huntzinger’s Karate, his
volunteers, diectors, officers, agents, employees and their insurance carriers,
or any other
person connected with the Wyoming Valley’s Mid-Atlantic Classics, including but not
limited to, Joe Huntzinger,
for any injuries
whatsoever the participant may sustain while participating in, spectating,
attending And/or leaving
the Mid-Atlantic Classics. Participant/parent/guardian
acknowledges that he/she/his or her child Has had and
passed a complete physical examination from a licensed physician
within the past 12 months and that The participant
is physically and mentally
fit to participate. Should any
liability be imposed on Huntzinger’s Karate, his volunteers,
directors, officers,
employees, agents, and/or their
insurance carriers, or any other person Connected with the Mid-Atlantic
Classics, including but
not limited to Joe Huntzinger, by a court of competent Jurisdiction, it is
expressly agreed that the
amount of such liability shall not exceed the out of pocket
expenses For medical treatment or
$2,000.00, whichever is
less. Lastly the
participant/guardian/parent hereby waives any Compensation whatsoever for use
of pictures,
videotape, media coverage,
statements, interviews, etc., utilized byThose producing or directing this
event at any time.
Print Name _______________________________________________ Date: ___________________