Tournament Registration

Competitor Pricing
Early $79 for 1 or 2 events, $25 for each additional event. (September 16, 2019 - October 15, 2019)
Regular $89 for 1 or 2 events, $30 for each additional event. (October 15, 2019 - November 11, 2019)
Late $99 for 1 or 2 events, $35 for each additional event. (November 11, 2019 - November 20, 2019)
  
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      

Credit Card

Credit Cardholder's Name
Credit Card Number
Expiration Date
Card Security Code

Villari's

School Location

Other:
Rank
Instructor

Tournament

Events to compete in
Base price includes 2 events




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.

   

Payment

Base Price: $89
Additional Event Fee: $30
Total to be Charged: $89