Tournament Registration

Competitor Pricing
Early	$79 for 1 or 2 events, $25 for each additional event. (September 1, 2024 - October 7, 2024)
Regular	$89 for 1 or 2 events, $30 for each additional event. (October 8, 2024 - November 4, 2024)
Late	$99 for 1 or 2 events, $35 for each additional event. (November 5, 2024 - November 11, 2024)

Enter your registration information below. All fields are required.

Participant
First Name
Last Name
Address
City
State / Province
Zipcode / Postal Code
Phone
Email Address
Age
Gender	male female
Credit Card
Credit Cardholder's Name
Credit Card Number
Expiration Date
Card Security Code
Villari's
School Location	Other:
Rank	*Choose primary color of rank, ie. Purple White Belt choose Purple
Instructor
Tournament
Events to compete in	Base price includes 2 events Sparring Kata (Forms) Weapons
Waiver
In consideration of your acceptance of my entry, I do hereby for myself, my heirs, executors, and administrators, waive, release and discharge against VILLARI'S NORTHEAST LLC and/or its departments, officers, agents, representatives, successors, and/or assigns, and against any participant for any and all damages which may be sustained by me in connection with my association with or entry in the above athletic event, or which may arise out of my traveling to, participating in, or returning from said event. I understand that the entry fee is non-refundable and non-transferable. I hereby grant full permission to VILLARI'S NORTHEAST LLC to use photographs, videotapes, or any other record of this event. I hereby give permission to the attending physician or other medical personnel to treat the registered individual in the event of an emergency.
	I accept waiver
Payment
Base Price:	$79
Additional Event Fee:	$25
Total to be Charged:	$79

Participant