Doyle Elementary School "Big Gym" 29285 South Range Road, Livingston, LA 70754
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SCHEDULE of EVENTS 8:00 am: Doors Open -- Registration Opens 9:00 am: All Weapons Divisions 10:30 am: 9 & Under Karate Divisions 11:15 am: 10-11 Karate Divisions 12:30 pm: Junior/Teen Karate Divisions 1:45 pm: Adult Karate Divisions ***ALL TIMES ARE APPROXIMATE***
Mandatory Protective Equipment
FOAM Head, Hand, and Foot Gear.
Groin Cup for Males.
ENTRY FEE: Forms and/or Sparring: $50 Add Weapons $5 Add Chanbara $5* * If Chanbara is your ONLY event, then the entry fee is $15.
SPECTATORS: Adults: $4, Children: $1, Five years and under: FREE
For More Information: Ray Effler: 225-435-3022 email@example.com
BEAUTIFUL awards for FIRST, SECOND, THIRD, and FOURTH PLACE!
DELICIOUS CONCESSIONS including AWARD-WINNING JAMBALAYA!
Competitor First Name
Competitor Last Name
Competitor Date of Birth
Competitor Street Address
Competitor City, State, Zip
Competitor School Email
Is this your first USKA tournament?
Competitor Martial Art School
Competitor Martial Art Style
Notice: this agreement contains indemnity and release provisions. In submitting said application, the undersigned hereby gives permission for the contestant to participate in said Louisiana Pro-Am to be held at Doyle Elementary School, Livingston, Louisiana on January 19th, 2019. Acting for myself, or as the parent or legal guardian for the contestant, I do hereby assume all risk of injury to said contestant while participating in and traveling both to and from said Louisiana Pro-Am, and acting for myself, my heirs, personal representatives and assigns, do hereby release the Livingston Parish School Board, Doyle Elementary School, Doyle High School, Donald Ray Effler, Jr., the tournament directors, United States Karate Alliance and associations, the officers, agents, employees and representatives of said organizations and any and all competitors and fellow participants, individually and collectively, from any liability (now and forever). As a parent or legal guardian, I agree to indemnify any such organization for any loss or expense by reason of any claim by child or ward.
I agree (0)
Electronic Signature of Competitor or Guardian, if under 18 years old
Tournament Events (other than Forms and Sparring)
Add Weapons to Forms & Sparring (5)
Add on Chanbara to Forms & Sparring (5)
Chanbara Only (-35)
USKA Member Discount (-5)
USKA Membership Number (if member)
Events Participating In