LITTLE SAMURAI REGISTRATION
Student Name
First
Last
Gender
(Required)
Male
Female
Date of Birth
(Required)
MM slash DD slash YYYY
Age On Day Of Competition
(Required)
Email
(Required)
Phone
(Required)
My Instructor
I AM A LITTLE SAMURAI
LITTLE SAMURAI WHITE
LITTLE SAMURAI YELLOW
LITTLE SAMURAI ORANGE
LITTLE SAMURAI BLUE
LITTLE SAMURAI GREEN
LITTLE SAMURAI PURPLE
LITTLE SAMURAI RED
LITTLE SAMURAI BROWN
Please select colour from the dropdown menu
Little samurai
Total
Credit Card or Debit Card
(Required)
Card Details
Cardholder Name
DECLARATION:
(Required)
I agree to the declaration.
I agree to abide by the rules of this Tournament and accept the judges’ decisions are final. I indemnify the organizers and their agents from any claims arising out of the activities of this Tournament.
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