In School Tournament

3755 Lake Center Dr,Mount Dora FL 32757

21 May, 2022

Description

2022 FMAC Championships are here! Test your skills and let's get ready to rumble! FMAC CHAMPIONSHIP TOURNAMENT FORM Saturday, May 21th @ Mount Dora 3755 Lake Center Drive, Mount Dora 352-383-0898 [email protected] STUDENT’S NAME:____________________________________________________________________ First Last PARENT’S NAME:_____________________________________________________________________ ADDRESS:____________________________________________________________________________ CITY:___________________________________STATE:____________ZIP:_______________________ PHONE NUMBER: (HOME)_________________________ (WORK)_____________________________ (CELL)_________________________(EMAIL)________________________________________ STUDENT’S DATE OF BIRTH:______________________________ CURRENT RANK (PLEASE FILL IN CURRENT BELT COLOR) THIS INCLUDES IF YOU HAVE A BLACK STRIPE OR NOT_______________________________________________________________ I will participate in the following competition venues: (Check any two) Kick rules apply Point Sparring__________Weapons_______Board Breaking____________________ Forms_________________ Padded sword_________________ One Student will be crowned FMAC Grand Champion! Points will be determined as follows: Each 1st place is 10 points, each 2nd place is 5 points, each 3rd place is 3 points, and each 4th place is 1 point. The student with the most points wins! Ties will be broken with a form playoff __________10:00AM till ? 1st-2nd place trophies, 3rd-4th place medals………..$30.00 for one or two events. $10.00 each additional event. (Must register by May 17th ) PLEASE MAKE ALL CHECKS PAYABLE TO THE FAMILY MARTIAL ARTS CENTER. We accept Visa, Master Card and American Express for payments. I agree to waive all claims against any person, school, and associations (including but not limited to the Tae Kwon Do programs located at the Family Martial Arts Center in Clermont and Mount Dora: this includes Master Gary Wayne and Jim Shipley) for any injuries I may sustain. I likewise assume responsibility for all of my actions in connection with said tournament. I further understand there are no refunds. Signature of Student_________________________________________________ Signature of Parent (if under 18)________________________________________ A LATE FEE OF $10.00 IS ASSESSED IF FORMS ARE NOT HANDED IN BY Tuesday, May 17th