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First Name*    M.I.  Last Name
Birthday*      Age on 6/30/2003 
Completed Years*
Training on 6/30/03		         Belt     M/F     Rank 
Martial Arts
School		       Instructor    
Address*
Address2
City*                                  St/Province    
Country*                               Zip/Postal    
Phone (w/area code)
Email
If Minor
Guardian/
Contact Name
Relationship

Here you may place special instructions, disclaimers, privacy policy,
photo release and/or other relevant conditions
If mailing, sign and date here:
Date ______________    Parent/Guardian ___________________________    
(Competitors under the age of 18 may require proof of age)
Make checks payable to: The Big Event
Fees are $$ per member, which includes (Sanctioning bodies or tournaments here)
* (For Association use only) Membership # ___________________		 Mailing Address
John Smith
C/O The Big Event
10020 217th Blvd. N.
Mango, Fl. 33333