Online Registration - Houston International Championships

Sensei D.E. Chambers Chief Instructor

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Be sure to sign our

Houston International Karate Championships

Online Registration

Welcome to our ONLINE REGISTRATION SYSTEM. We hope this system provides a useful and easy way to register for our event, and avoid many of the usual hassles encountered with regular pre-registration and same-day registration.

Back to Main Houston International Championships Page.

ONLINE REGISTRATION FORM: Houston International Karate Championships

Competitor Name:
Rank:
Home Address:
City:	State: Zip Code:
Phone Numbers:	Home: Work:
	Mobile:
E-Mail Address:
Date of Birth:	Age: Sex: Male Female
Height:	Weight:
Club/School Name:
Instructor:
Club/School Address:	(Include City/State/Zip)
Club/School Phone:

DIVISIONS: (Please indicate the number and description of your divisions you are entering.)

Kata/Specialty:
Kata/Specialty:
Kata/Specialty:
Traditional Kata:
Sparring:
Continuous Sparring:
Team Sparring:

Registration Fees:	Pre-Registration Before May 9th	Registration After May 9th
One or Two Events	$45.00	$55.00
Each Additional Event	$15.00 x	$20.00 x
Team Sparring	$50.00	$75.00
Demo Division (12-Under)	$35.00	$48.00
Adult Spectators	$10.00 x	$12.00 x
Child Spectators (5-Under, Day)	$5.00 x	$7.00 x
TOTAL FEES:

PAYMENT METHOD:

Cash Check/Money Order Credit Card

If paying by cash, check, or money order, be sure to mail your payment to North Side Karate, 11116 Airline Drive, Houston, Texas 77037 prior to May 1st to avoid any registration delays. Please note that North Side Karate does not encourage sending cash payments via mail.

ALL MAJOR CREDIT CARDS ACCEPTED!!!

You may use Visa, Master Card, and Discover Card on PRE-REGISTRATIONS ONLY! Checks only accepted before the May 14th deadline. All payments after May 7th, must be cash, cashier’s check, or money order only.

Name on Card:

Card Type:

Credit Card #: Expiration Date:

By submitting this online form, I agree to pay the above amount as a non-refundable charge to my credit card and I agree that I can not be charged back or cancelled without the express written consent of North Side Karate.

PAYMENTS: Make payable to N.S.T. Mail to : 11116 Airline Drive, Houston, Texas 77037. Cash only will be accepted at the door. Only U.S. Currency, Travelers Checks or Money Order. NO REFUNDS, NO TRANSFERS, NO SUBSTITUTIONS.

Your submission of this form electronically signifies your acceptance and agreement to the LIABILITY WAIVER & RELEASE.

LIABILITY WAIVER & RELEASE:

I, the sender, do hereby voluntarily submit my application for participation in the said martial arts tournament & hereby assume full responsibility for any and all damages, injuries or losses that I may sustain or incur, if any while attending or participating. I waive all claims for / or against the promoters, operators, or sponsors of said tournament, individually or otherwise for any claims for injuries that I may sustain. I fully understand that I am entering such competition at my own risk & that any medical treatment given to me will be of first aid treatment type only. I declare that I am free of any physical defects of illness which might prohibit competition. I consent that any pictures taken of me in connection with the tournament can be used for publicity, promotion, or television show & I waive compensation in regards thereto. If under 18 years of age, this release & consent for to be signed by a parent or guardian. I further agree to abide by the rules of the tournament & the final decisions of the officials. I certify that the above information is correct & accurate to the best of my knowledge. I further agree that any pictures taken of or by me in connection with said tournament can be used by the tournament producer or director for publicity, promotion without compensation at this time or any other time.

North Side Karate reserves the right to refuse admission to any spectator or competitor.

Send mail to webmaster@northsidekarate.com with questions or comments about this web site.

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