Entry Form

Student

Student ID:

DOB:

Test Kyu/Dan:

I am aware that karate is a contact sport and injuries may occur in the course of participation. I am also aware that the term “injuries” includes injuries temporary disablement, permanent disablement and also loss of life. I authorize and consent to being rendered all medical treatment, in case of any injury/accident during journey/travel/competition/practise/stay by the Indo Japan Shito Ryu Karate-Do Association (IJSKA) and those associated with it. I agree to reimburse the cost of such medical treatment and incidental expenses so occured. I state that I am participating in the above championships at my own risk and responsibility as to the cost and consequences and that I have read and understood the aforesaid and I have signed this consent form for my own free will.

I have read and agree to the above terms of service