Master Technicians Taekwon Center

MASTER TECHNICIANS TAEKWON CENTER WARRIOR WITHIN V WORLD MARTIAL ARTS CHAMPIONSHIP

Name ______

School ______

Age ______Weight ______

Sex ______

Belt Rank ______

Address ______

______

Telephone ______

EMAIL ______

I, ______, do hereby release Terry Motley, Master Technicians Taekwondo Center, Tournament Officials and Directors, and Calvary Gospel Church, from all liability due to injuries I may incur as a result of my participation and or attendance at this event. I also waive any compensation whatsoever for the use of pictures, videos, and media coverage, etc, used by the promoter(s) for profit making purposes. I understand that fighting (sparring) is a contact sport and injuries may occur. I also agree to abide by the rules and regulations associated with this event and assume responsibility and any associated liability for infringement of such rules. I am also truly aware of my personal medical condition and certify that I am mentally and physically able to compete in this event.

Competitor Signature ______Date ______

Guardian Signature ______Date ______

School Demo $______Forms $______Weapons $ ______Point Sparring $______Coaching Pass $______Total $______