TEAM APPLICATION FORM

TEAM INFORMATION

PLEASE PRINT CLEARLY

We hereby submit our application for participation in the 2008 Ozawa Cup International Karate Tournament.  We hereby acknowledge that there are risks of bodily injuries involved in competing in the Tournament.  We hereby waive and release any and all claims, causes of action, loses, damages, cost expenses including but not limited to attorney fees, either known or unknown, now existing or arise in the future that may have of whatever kind or nature against any Tournament organizer, director, or anyone else involved in any way with the Tournament.  We hereby acknowledge that the Tournament organizers for publicity, sales, or promotions can use any individual, team, or any other pictures or videos taken of us in this Tournament without compensation to any individual Team member or the Team as a whole.

Name 1:

Age:

Name 2:

Age:

Name 3:

Age:

Team Name:

Dojo Name:

Dojo Address:

City/State/Zip:

Signature 1:

Country/Postal code if not USA :

Signature 2:

e-mail:

Signature 3:

TEAM DIVISION NUMBER

Parent or Guardian must sign above if

Team Member is under 18 years of age

Team Kata Division #:

TK:

Team Kumite Division #:

TS: