

"2010 Karate Olympics
Featuring 9 Athletic Events
plus Samurai Sword Awards!"
Saturday, May 1st
Start Time: 9:30 am
Entry Fee: $29
(2 family members entry fee: $45)
(3 family members entry fee: $60)
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Athletes will compete in all events. Points will be awarded to them for each event.
After all 9 events are completed, points will be tallied to determine 1st, 2nd, 3rd, 4th Place.
All participating athletes will earn a decorative Samurai Sword!
(all swords will be 'zip-tied' so children cannot withdraw the sword from the sheath).
Divisions will be divided up by age and rank so each student can enjoy friendly competition among athletes their own
age and physical skill level.
Students Name:___________________________________ Age:_______________
Belt Rank:_______________________ Phone #:____________________________
I,______________________, hereby give my son/daughter,___________________, permission to participate in the 2010 Karate Olympics held at Fortunato Karate on Saturday, May 1st. I understand that Physical Fitness and Karate Training brings
with it a natural risk of injury and hold Fortunato Karate free from any and all liability associated with said event.
Parent’s Signature:____________________________________________________
Feel free to print this page out to use as a registration form.
Highlight the form with you mouse and and click print...then choose 'print selection'...