| Under Belt Divisions Gup' s & Kyu's |
| Under Belt FORMS Team Forms *White Belts 6 & Under (New Students) 5 & Under 6 NOV. 6 ADV. 7-8 NOV. ,7-8 INT., 7-8 ADV. 9-10 NOV.,9-10 INT., 9-10 ADV. *White Belts 7-10 (New Students) 11-12 NOV.,11-12 INT.,11-12 ADV. 13-14 NOV.,13-14 INT.,13-14 ADV. *White Belts 11- 15 (New Students) 15-17 NOV.,15-17 INT.,15-17 ADV. 18-34 NOV.,18-34 INT.,18-34 ADV. 35 & Over NOV. 35 & Over ADV. |
| Under Belt Weapons *6 & Under All Ranks 8 & Under NOV. ADV. 9-10 NOV. ADV. 11-12 NOV. ADV. 13-14 NOV. ADV. 15-17 NOV. ADV. 18 & Over NOV. ADV. 35+ Nov., 35 + Adv |
| Under Belt Sparring 5 & Under All 6 NOV.,6 ADV. 7-8 NOV.,7-8 INT.,7-8 ADV. 9-10 NOV. Boys, 9-10 INT. Boys,9-10 ADV. Boys 9-10 NOV. Girls, 9-10 ADV. Girls 11-12 NOV. Boys, 11-12 INT. Boys, 11-12 ADV. Boys 11-12 NOV. Girls, 11-12 ADV. Girls 13-14 NOV. Boys ,13-14 INT. Boys ,13-14 ADV. Boys 13-14 NOV. Girls ,13-14 ADV. Girls 15-17 NOV. Boys ,15-17 INT. Boys,15-17 ADV. Boys 15-17 NOV. Girls ,15-17 ADV. Girls 18-34 NOV. Men, 18-34 INT. Men, 18-34 ADV. Men 18-34 NOV. Women ,18-34 ADV. Women 35 & Up NOV. Men ,35 & Up INT Men .,35 & Up ADV. Men 35 & Over NOV. Women, 35 & Over ADV. Women 45 & Up Nov. Men, 45 & ADV. Men |
| NOW till January 15th 2010) Price $45.00 All Events & 1 Free Spectator ($6.00 Value) At Door Registration $50.00 for 1 to 4 Divisions (No Personal Checks at the Door & No REFUNDS) Spectators Fee (Same Price for Pre-reg or at the door): 5 & Under - Free , 6-12 Years Old -$4.00, 13 &Up- $6.00 All Non-Uniformed Black Belts have to pay spectators fee. Name:__________________________ Age:_______ Rank: -New - NOV - INT - ADV - Address:_________________________ City_____________________________________ State or Providence __________________________ Zip__________________________ Contact Number ( )__________________________________________________ Karate School____________________________________________________________ Please enter myself or my son/daughter in the “ D-Lux Charity Challenge 3” Martial arts tournament. In consideration of the acceptance of this form, I WAIVE any & all claims against Adam Lux or any of the event sponsors, instructors, competitors for injury or illness which may directly or indirectly result from my or my child’s participation. I understand that martial arts competitions exposes one to open and obvious danger and that the undersigned is fully aware of and agrees to hold Adam Lux or any member of his staff Harmless. I also understand that photographs may be taken at the event and later published or used for promotion and my attendance at the event constitutes acceptance. Singature_______________________________________________________Date:______ Parent or Guardian if under 18 year’s old____________________________ Date:_________ Make Checks to Adam D Lux. NO CHECKS AT THE DOOR! CALL For Group/School Discount. |
