Tournament
For information call 949-874-KICK
Coming Soon!
Previous Events
2013 Results
OCKicks.com
ON-LINE REGISTRATION & PAYMENT
Competitor Registration & Release
Please fill out the form completely. Early registration and fully completed forms help us achieve our goal of ensuring a safe, enjoyable and “on-time” competition and experience for the participants, their families & friends. If you have any questions please ask your instructor for help. Additional family members registering for the tournament must each fill out this form. Team Form members must each be registered in individual events. Be sure to use the SQUARE STORE link at the bottom of this page to pay for and complete your registration.
Register by August 10th, 2013 to take advantage of the early registration discount.
Name
*
First
Last
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
-
-
Age
*
Weight
*
Gender
*
Male
Female
Belt
*
White
Gold/Yellow
Orange
Green
Red
Midnight Blue/Black
Kodanja
Instructors Name
*
Forms Code (F-1 thru -31)
*
Weapons Code (W-1 thru -13)
*
Rank
*
10th Gup
9th Gup
8th Gup
7th Gup
6th Gup
5th Gup
4th Gup
3rd Gup
2nd Gup
1st Gup
1st Dan
2nd Dan
3rd Dan
4th Dan & up
School Name / Dojang
*
Sparring Code (S-1 thru -31)
*
Team Forms Code (TF-1 thru -3)
*
Comment
*
Waiver of Claim: I hereby submit my application for registration in the USGTSDA West Coast Championships on August 23 – 24, 2013. I agree to waive all claims against any persons, school, or association connected with the Championships, including OCKicks, Inc. the USGTSDA and the Anaheim Hilton Hotel. I assume complete and full responsibility for any injuries I may sustain, and likewise will assume full responsibility for all my actions in connection with the Championships. I understand further that I will strictly observe and obey the rules and regulations governing the Championships.
Submit
Upon completing your registration form proceed to our
SQUARE store
to pay your competitor fees.