Clip and mail certified check or money order too Brad Hatcher 1403 E. Broadway Ave Maryville,TN 37804
NO Personal checks will be accepted
name__________________________________________age____________Phone(_______)__________________
Address_____________________________________________city______________st_____zip_______________
Instructors name and school_________________________________________________Belt__________________
How long training___________________weight________ E-Mail________________________@________._____
check divisions competing in Kids(___) Youth(__) Male(__) Female(__) GI(__) NO GI(__)
I, the undersigned, understand and agree that Martial Arts is a contact sport and that injury or death could occur. In the case of injury or death to myself or my son/daughter, I will not hold Brad Hatcher/Hatchers Martial Arts/Hatchers Karate, any judges, employees, agents of Brad Hatcher/Hatchers Martial Arts/Hatchers Karate, competitors or the owners of the facility liable for any claim or demand. In case of injury or death I will use my own insurance and be responsible for any or all payments.
Print Name_______________________________Sign if 18 yrs or older__________________________________
If Under 18 Parent or guardian must sign here___________________________________________________
Must be received by TBA for discount Certified check or money order only (DO NOT SEND CERTIFIED MAIL)
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16 and 17 yr old male or Female may compete in the adult class with parents permission, Please sign up as Adult..
They CAN NOT compete in both adult or Teen. You must choose one group
Please Print clear All forms that apply must be filled out IN FULL
(Gi)
Name_______________________________________________ Age__________
Sex________Weight_______________Rank__________________
School_____________________________________Instructor_________________________
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(NO-GI)
Name___________________________________________Age__________
Sex________Weight_______________How long training in grappling________________
School_____________________________________Instructor_________________________
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Must be postmarked by TBA to receive your discount
