Golden Fist Martial Arts Academy Inter School Tournament July 19 th , 2014 “Just Us”

1. Golden Fist Martial Arts Academy Inter School Tournament July 19th, 2014 “Just Us” 5351 Lincoln Highway Suite 3, Gap, PA 17527 717-442-0244 $40.00 (before or on 7/15/14) $55.00 thereafter Multiple Divisions (in order of occurrence) Starts at 11:00 AM SHARP Forms Self Defense Weapons Breaking Point Sparring Gladiator • Breaking • Forms • Self Defense • Weapons Forms • Point Sparring • Gladiator Age Divisions Mini-mite 3 – 5 Mighty-mite 6 - 8 Cadet 9-12 Youth 13-16 Young Adult 17-30 Adult 31- 55 Seniors 56- 100 As deemed appropriate by host Weight Divisions Ultra-lite 45- 75 Lite 76- 90 Slim Weight 91 115 Light Middle 116 - 130 Middle 131-170 Light Heavy 171-200 Heavy 200 -225 Super Heavy 225-500 As deemed appropriate by host For efficiency Pre-registration recommended Please return this bottom portion with payment to the above address before due dates. Late registration after that date as indicated cash. (No refunds after 7/16/14) (Credit Card add 4%) Name: _______________________ Signature_______________________ Age ____ Weight_____ Address:___________________________________ Telephone:___________ Signature of Parent_________________________ For planning purposes please indicate by filling in square of each event in which you plan to participate School • Gap • Holland • Northeast • Kernersville Official use only ( Do Not Write) Date Registration received ____________ Number of Events ____________ Method of Payment ____________ Logged By/ Log number ____________ Please note your signature or that of your parent or guardian is considered acceptance of assumptions, risk and burdens of all liabilities due to injuries, mishaps of any sort occurring as a result of attending or participating in this tournament and that GFMAA, GFMAAG, GFMAI, its schools, instructors, Students, and affiliates will be not be liable in anyway and be held blameless in all respects including negligence in whole or in part there of or there in.