AOK "Frequent Competitor" on-line Registration Form

• Please provide the following contact information:

  Competitor's Name
  Parent's full name	If under 18 yrs. old
  E-mail
  Confirm E-mail
  Alternate Parent's email	If under 18 yrs. old

• Please describe yourself:

  Date of Birth	(mm/dd/yyyy)  format
  Sex	Male	Female
  Height
  Weight

            Rank     Note: BB is NOT a rank and could mean blue belt, brown belt, or black belt.  Please write out the color.

• Special requests.

  By submitting this form, I do hereby voluntarily enter my application for participation in the AOK tournaments and hereby assume full responsibility for any and all damages, injuries or losses that I may sustain or incur, if any, while attending or participating.   I waive all claims for/or against the promoters, or operators, or sponsors of the AOK, individually or otherwise for any claims for injuries that I may sustain.  I fully understand that I am entering such competition at my own risk and that any medical treatment given to me will be of a first aid treatment type only.  I declare that I am free of any physical defects of illness, which might prohibit competition.  I consent that any picture furnished by me or any picture taken of me in connection with the AOK can be used for publicity, promotion or television show, and I waive compensation in regards thereto.  If under 18, this release and consent is to be signed by parent or guardian.  I further agree to abide by the rules of the tournament and the final decisions of the officials.  I certify that the above information is correct and accurate to the best of my knowledge.  The Executive Board and Producer (s) of the AOK reserve the right to refuse entry to anyone.

  If the competitor is under 18 yrs. of age, a parent or guardian must fill in the box below with his/her name and date.  Note: You may also be asked to sign the form at AOK tournaments.

  Name of Parent or Guardian (if under 18 yrs.)

Please click form only ONCE.  Sometimes there is a delay, depending on conditions.