CHECKS MADE PAYABLE TO : Master Jose Torres P.O. Box 349 NJ 08010

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2 WAR ON THE SHORE---ACTION MARTIAL ARTS MAGAZINE CHAMPIONSHIP REGISTRATION FORM Name Birth Date Age (AS OF JAN 1) Address City State Zip Home Phone Rank Belt Color Male/Female Martial Art School Instructor Phone# School Circle Friday Events- STICK FIGHTING DEMO TEAM MUSICAL DIVISION (MUST SUPPLY OWN MUSIC AND MUSIC PLAYER) Saturday Events- WEAPONS FORMS POINT SPARRING Certified Check or Money Order Only- No personal checks will be accepted. Cash Only for at the door registration. Pre-Registration Post Marked By Dec 15 Registration Post Marked Dec 15 to Jan 1st Day Of Event # Of Div. Total Amount Entry Fee-One or Two Divisions $65.00 $75.00 $85.00 Additional Divisions Per Division $ $15.00 $20.00 Spectator Adult (This is a special pass 3-days all access to tournament- tradeshow- film festival) $25.00 $35.00 $42.00 Spectator Children (6-12) & Seniors (65 years and up) 5 and under Children are free as spectators (Coaching without a pass will result in a penalty to that player) Coaches Pass Floor access/badge $ $ $20.00 $ $35.00 $45.00 Demo Team ( This is a team fee- one fee per team) (5 min time limit- Min 5 -Max 15 member team) (Demo Team members must be a paid athlete or paid spectator) Please Note: Please be advised that packages not post marked will be processed on date received. $ $75.00 $90.00 Total Amount Due I (Print Name) the undersigned do hereby release Champion Training LLC, Master Jose Torres, NAFMA, Alan Goldberg, Action Martial Arts Magazine and any other person associated with this event in any capacity from any liability due to injuries, etc., that may occur as a result of my attendance/participation at this event. Furthermore, I hereby waive any compensation what so ever for the use of pictures, movies, media coverage, etc. utilized by those associated with this event, which may be used for profit making purposes. I clearly understand the fighting aspect of this sport and competition involves body contact. I have read, understand, and agree to abide by the rules associated with this event and assume full responsibility and any associated liability for infringement of such rules. Additionally, I am fully aware of my personal medical condition and hereby certify that I am mentally and physically fit to compete at this NAFMA competition and also understand that a valid birth certificate should be presented at the tournament. Competitor s Signature Parent/Guardian (if under 18 years) Date CHECKS MADE PAYABLE TO : Master Jose Torres P.O. Box 349 NJ 08010

3 Schedule of Events FRIDAY--Tournament Registration is from 4-5pm Demo Team Staging at 5:15 am Demo Team Competition 5:30pm Sharp!!! Musical Division Competition- 6:00 pm (Musical Division is an open division. So you can choose to either do forms or weapons but not both) Stick Fighting Competition Staging 6:45pm SATURDAY SCHEDULE ALL CHILDREN S MARTIAL ARTS DIVISIONS WILL RUN FIRST Weapons, Forms, Point Sparring- Begin at 10am Adult Weapons, Forms, & Sparring Competitors Report at 12:45pm Adults begin with Weapons at 1:15pm Forms- 2:15pm Self-Defense- 2:45pm Point Sparring- 3:15pm FEATURED DIVISIONS: POINT SPARRING FORMS WEAPONS STICK FIGHTING TEAM DEMO MUSICAL FOR MORE INFORMATION CALL OR - nafmainfo@aol.com ONLINE REGISTRATION IS ALSO AVAILABLE

4 DIVISION BREAKDOWN RANK CATEGORIES (NOV): WHITE,YELLOW,ORANGE- ( INT): GREEN,PURPLE,BLUE- (ADV):RED, BROWN- (BLACK ) *PLEASE NOTE THE DIVISIONS CAN BE SEPERATED OR COMBINED AT THE TOURNAMENT DIRECTOR S DISCRETION DEMO TEAM- Friday Event- MUSICAL- Friday Event- (7 DIVISIONS) 7 under: ALL RANKS (Boys/Girls Combined) 8-9: ALL RANKS (B/G) 10-12: ALL RANKS (BOYS/Girls Combined) 13-17: COLOR BELTS BLACK BELTS (BOYS/ Girls Combined) 18-up COLOR BELTS BLACK BELTS (MEN- Women Combined) STICK FIGHTING- Friday Event- (11 DIVISIONS) 7 under: ALL RANKS (Boys/Girls Combined) 8-9: ALL RANKS (BOYS) 8-9: ALL RANKS (GIRLS) 10-12: ALL RANKS (BOYS) 10-12: ALL RANKS (GIRLS) 13-17: ALL RANKS (BOYS) 13-17: ALL RANKS (GIRLS) ALL RANKS (MEN) ALL RANKS (WOMEN) 35-up ALL RANKS (MEN) 35-up ALL RANKS (WOMEN) WEAPONS- Saturday Event (22 DIVISIONS) 7 under: NOV INT ADV/BB (Boys/Girls Combined) 8-9: NOV INT ADV/BB (B/G) 10-12: NOV INT ADV BB (BOYS/Girls Combined) 13-17: NOV INT ADV BB (BOYS/ Girls Combined) NOV INT ADV BB (MEN Women Combined) 35-up NOV INT ADV BB (Men/Women) FORMS Saturday Event (24 DIVISIONS) 7 under: NOV INT ADV/BB (Boys/Girls Combined) 8-9: NOV INT ADV/BB (B/G) 10-12: NOV INT ADV (BOYS & GIRLS) 10-12: BLACK BELT (BOYS) 10-12: BLACK BELT (GIRLS) 13-17: NOV INT ADV (BOYS & GIRLS) 13-17: BLACK BELT (BOYS) 13-17: BLACK BELT (GIRLS) 18-34: NOV INT ADV (MEN & WOMEN) 18-34: BLACK BELT (MEN & WOMEN) 35-up NOV INT ADV (MEN & WOMEN) 35-up: BLACK BELT (MEN & WOMEN) SPARRING Saturday Event (47 DIVISIONS) 7 under: NOV INT ADV/BB (BOYS & GIRLS) 8-9: NOV INT ADV/BB (BOYS) 8-9: NOV INT ADV/BB (GIRLS) 10-12: NOV INT ADV BB (BOYS) 10-12: NOV INT ADV BB (GIRLS) 13-15: NOV INT ADV BB (BOYS) 13-15: NOV INT ADV BB (GIRLS) 16-17: NOV INT ADV BB (BOYS) 16-17: NOV INT ADV BB (GIRLS) NOV INT ADV BB (MEN) NOV INT ADV BB (WOMEN) 35-up NOV INT ADV/BB (MEN) 35-up NOV INT ADV/BB (WOMEN) *112 Tentative Divisions

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