Please fill out this quick and easy Registration Form to reserve your spot in the Shamrock Karate Spectacular! We even made it easy for you by paying securely online by Credit Card! 

Registration Information:

Name: Email:
Phone: Fax:
Address: City:
State: Zip:

Age: Birthday:
Sex: Male  Female Belt Color:
Novice: Intermediate:
Advance: Black Belt:
School: Instructor:
School Address: City:
State: Zip:

Please List The Division #'s For All Divisions In Which You Are Competing

1: 5:
2: 6:
3: 7:
4: 8:

Pre-Registration Must Be Submitted By March 8, 2008

Player Fees:

1 x $55 =

 $
 

1 x $65=
After Saturday, March 8, 2008

 $
 

1 x $10=
Each Additional Division

 $
 

1 x $15=
Each Additional Division
After Saturday, March 8, 2008

 $

SPECIAL YOUNG KIDS DIVISION (A-0, A-00)
Young Kids Fees:

1 x $40 =

 $
 

1 x $50=
After Saturday, March 8, 2008

 $
 
Spectator Passes
Spectator's Fees:

1 x $10 =
(Fee Covers Both Days)

 $
 
Coach's Passes
Coach's Fees:

1 x $15 =

 $
 

1 x $25=
After Saturday, March 8, 2008

 $

* Coach's Pass in addition to Spectator or Competitor's Pass
*Coach's Pass will allow you inside barriers to coach your player during Sparring Only
   
Tournament T-Shirt
T-Shirt Costs:

1 x $15 =
After Mar 8th - 1 x $20 =

 $

Child Small #

   Child Medium   Child Large #

Adult Small #

Adult Medium #

   Adult Large #
Adult XL # Adult XXL #    
*Please indicate the number of T-Shirts

Please add up your total amount due and place it here:  $


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