For more information contact East West Karate at 606-679-3355 or e-mail us at

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For Seminar Participants Only
Muay Thai Only
Brazilian Jiu-Jitsu Only
Muay Thai & Brazilian Jiu-Jitsu

For Tag Grappling Tournament Competitors Only

I, the undersigned, hereby submit my application for registration. I agree to waive all claims against any persons, schools, or associations for any injuries I may sustain and likewise assume full responsibility for all my actions in connection with said competition. Pictures may be used by the Tournament Director for publicity without compensation at this, or any other time.

I clearly understand that the fighting aspect of this sport and competition does involve bodily contact. I have read, understand and agree to abide by the rules associated with this event. I assume all responsibility and any associated liability for infringement of such rules. Additionally, I am fully aware of my personal medical condition and herby certify that I am mentally and physically fit to compete.

The undersigned is over eighteen (18) years of age, and hereby certifies that I/we have read and understand the contents of the Release and that we are signing this willingly, without coercion or undue influence.
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