Rolla High School Gymnasium, 900 Bulldog Run, Rolla, MO
Here is how it works:
Please complete the 3 Sections Below. Once submitted, we will process your credit card and e-mail you with 48hrs. Please remember to include full e-mail address (e.g. johndoe@mail.com) -MOST IMPORTANT. We accept VISA and MASTERCARD Parent/Guardian must complete the form if competitor is a minor.
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)
October 23rd 2010 Missouri State Championships
Please remember to complete the details before you press submit - we are receiving a few blank forms
