Registration for the USA, New Hampshire GKO Championship.

New Hampshire, USA Open Championship

Registration Form

Professional competitor application, signatures, contact details, event selection, and payment-ready records.

$70.00 one event +$10.00 each additional event Secure admin records
01

Select Events

* indicates required fields

Please enter me into the following event(s): *
Spectator fees: $15.00 General admission, Children Under 5 FREE
02

Applicant Information

Clean premium fields matching the provided form content.

Address

Total Amount Enclosed Auto-calculated from selected events, editable in admin records.
ALL ENTRY FEES ARE NON-REFUNDABLE
03

Conditions of Registration

Participant waiver and acceptance text.

I, the undersigned, do hereby voluntarily submit my application for participation as a competitor in the New Hampshire, USA Open Championship to all Organizations that will be held in New Hampshire. I fully read and do hereby assume full responsibility for any and all damages, injuries or losses, including death that I may sustain or incur while attending or participating in the aforementioned event and do hereby waive any or all claims against Cote Karate Studio from Nashua NH. All venues rented by our Studio Nashua NH, its promoters, Operators and/or Sponsors of said event, their employees, agents, individually or otherwise, and specifically covenant not to bring suit to the individuals or Organization mentioned above, fully recognizing that this covenant is part consideration for my approval to compete, and upon which they have relied in accepting the above application. I further understand I am fully aware of the inherent risks of sustaining injury during the competition or in the preparation thereof and that I completely assume all risks and liabilities thereto. I fully understand that any medical treatment provided to me as a response to injury will be of the first aid type only. I also fully understand that I am responsible for payment for any additional medical services performed as a result of any injury I may sustain.
04

Required Signatures

Digital signature pads save safely with each submission.

Applicant Signature

Parent or Guardian If under 18 years of age

Instructor / Sensei Signature

USA Flag

WHAT TO EXPECT

at the New Hampshire, USA Championship.

  • Our Championship will feature Knock Down Sparring, Semi-Contact, Kata, Kobudo, Breaking and The New Hampshire Belt Title Male/Female Open Weight Division.
  • Sparring will be based on Age, Weight and Belt Level.
  • Kata and Kobudo will be based on Age and Belt Level.
  • The New Hampshire Belt Title will be an Open-Weight Male / Female Division to win the New Hampshire Grand Champion Title.
  • Breaking will be based on Age and Belt Level.
  • The Sandbag Challenge will be based on Age and Belt Level. (From 4 to 10 Years old.)
Chest Protector is (MANDATORY) for Sparring Divisions 13 Years old and Younger.

TO: Cote Karate Studio
619 South Main Street Nashua New Hampshire, 03060. USA
or by Email:
Michael_c_contractor@hotmail.fr

THERE WILL BE AN ADDITIONAL $20.00 REGISTRATION FEE FOR APPLICATIONS

5 Days before the Scheduled Championship Date (9 PM).