Regional App Buena
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United Martial Arts Referees Association presents the
UMARA Regional Championships Buena Regional High School Atlantic County School District
Official Application for Competition Name
Rank
Address
Phone
City, State
Zip
Age
Sex
Height
Weight
School Name School Address City, State
Zip
Instructor's Name Novice Level
Intermediate Level
Advanced Level
(White - Yellow - Orange)
(Blue - Green - Purple)
(Red-Brown – Black)
Age Category (please check one) Mini-Mites 7 & under Mini Pee-Wee 8 - 9 s. Pee-Wee 10 - 12 s. Juniors 13 - 15 s. Super Juniors 16 - 17 s. Adults 18 - 34 s. Senior 35 - 44 s. Executive (45 & over)
--_
Please check the divisions in which you wish to compete: Weapons Forms
Free Sparring
Empty Hand Forms
Additional Event
Total number of events entered: I, the undersigned, do hereby voluntarily submit my application for this UMARA Championship being held on said publicized daft, and do hereby assume full responsibility for damage, injuries, death, a losses that I may sustain in any way while attending or participating in said Tournament. I hereby waive any and al I claim against the promoters of said Tournament, and Buena Regional School and the Atlantic County School District individually or otherwise, and the owners or operators of premises for injuries that I may sustain. I also consent that any pictures taken of me in connection with this event can be used for publicity, promotion, or television showing, and hereby waive compensation in regard thereof. Misconduct and inappropriate behavior will not be tolerated at this event! Rules violators will be dismissed from the event with NO REFUNDS!
Signature of Contestant Signature of Parent/Guardian (If contestant is under legal age)
Date Date
UMARA Regional Championships Buena Regional High School Atlantic County School District
Official Application for Competition Name
Rank
Address
Phone
City, State
Zip
Age
Sex
Height
Weight
School Name School Address City, State
Zip
Instructor's Name Novice Level
Intermediate Level
Advanced Level
(White - Yellow - Orange)
(Blue - Green - Purple)
(Red-Brown – Black)
Age Category (please check one) Mini-Mites 7 & under Mini Pee-Wee 8 - 9 s. Pee-Wee 10 - 12 s. Juniors 13 - 15 s. Super Juniors 16 - 17 s. Adults 18 - 34 s. Senior 35 - 44 s. Executive (45 & over)
--_
Please check the divisions in which you wish to compete: Weapons Forms
Free Sparring
Empty Hand Forms
Additional Event
Total number of events entered: I, the undersigned, do hereby voluntarily submit my application for this UMARA Championship being held on said publicized daft, and do hereby assume full responsibility for damage, injuries, death, a losses that I may sustain in any way while attending or participating in said Tournament. I hereby waive any and al I claim against the promoters of said Tournament, and Buena Regional School and the Atlantic County School District individually or otherwise, and the owners or operators of premises for injuries that I may sustain. I also consent that any pictures taken of me in connection with this event can be used for publicity, promotion, or television showing, and hereby waive compensation in regard thereof. Misconduct and inappropriate behavior will not be tolerated at this event! Rules violators will be dismissed from the event with NO REFUNDS!
Signature of Contestant Signature of Parent/Guardian (If contestant is under legal age)
Date Date
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