Regional championship
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- ATLANTIC-PACIFIC TANG SOO DO FEDERATION OR APTSDF
- October 22nd, 2016
| 2016 APTSDF New England
REGIONAL CHAMPIONSHIP October 22, 2016
To Register Complete Entry Form Below, cut on dotted line and return with your fee made payable to: ATLANTIC-PACIFIC TANG SOO DO FEDERATION OR APTSDFMail To: Atlantic-Pacific Tang Soo Do Federation PO Box 3225 Suwanee, GA 30024 
2016 New England Regional Championship October 22nd, 2016Official RegistrationNAME:____________________________________________________AGE:_______WEIGHT_______ M/FADDRESS:________________________________________CITY______________STATE_______ZIP______ BELT RANK_______________________ INSTRUCTOR___________________________________________ SCHOOL NAME:_______________________SCHOOL ADDRESS:__________________________________ Check divisions competing: _____forms _____sparring _____weapons _______breaking Payment Amount: $40.00 per competitor – Early Bird Registration*** (includes all 4 events – forms, weapons, sparring, and breaking)*** Must be received no later than 10/1/16 - $45.00 per competitor. Regular Registration** Must be received no later than 10/8/16. $50.00 for late registration. Must be received by no later than 10/15/16. Special Note: Competitors may bring their own boards as long as they meet Federation standards. See your instructor for specific information related to proper sizing, quality, make, etc. Total Amount Enclosed $___________ LIABILITY WAIVER I heareby submit my application for registration in the 2016 APTSDF New England Regional Championship. I agree to waive all claims against any and all persons, The Atlantic-Pacific Tang Soo Do Federation, Sunny Side Martial Arts, Bethany Covenant Church, its officers and agents, for any injuries I may sustain related to said championship. I also assume full responsibility for all my actions in connection with said championship. I understand that the Atlantic-Pacific Tang Soo Do Federation, for publicity and without compensation or authorization may use any pictures of me participating in said championship. I also understand there are no refunds after the registration deadline date. Entrant Signature _________________________________________Date______________ Guardian Signature _________________________________________Date______________ (Must be signed by guardian if entrant is under 18) Directory: sites -> default -> files files -> Answer True False 2 points Question 2 files -> Northern England’s set-jetting locations files -> Nstructions for Acquiring Excess Equipment online, through the 1033 Program files -> Occupational health and safety files -> The Black Panther Party’s Ten Point Program files -> International programs roel profile files -> Fermi Questions a guide for Teachers, Students, and Event Supervisors Lloyd Abrams, Ph. D. DuPont Company, cr&D/ccas experimental Station Wilmington, de 19880 files -> Personal Information Name: Maha Al-Ammari Nationality: Saudi Relationship Status Download 13.13 Kb. Share with your friends:
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