About Steel City Martial Arts

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Registration Costs:
Gi - $55
Cost at Door - $65
No-Gi - $55
Cost at Door - $65
Gi and No-Gi - $70
Cost at Door - $80
Spectator Fee - $5
Cost at Door - $8

* denotes required field
* Contact Name:
      
* Address:
Address2:
* City:
* State:
* Zip Code:
* Telephone #:
* Email Address:

Academy
* Address:
Address2:
* City:
* State:
* Zip Code:
* Instructor

* Gi Division - check one on each line  
 
* Belt:

* No-Gi Division - check one on each line  
 
* Belt:

*Shirt Size:

I, the undersigned hereby waive all claims against any and all persons associated with any of the participating schools and competitors. I assume full responsibility for all of my actions during and connected to the above tournament. I understand the risk of competing in this form of Martial Arts competition and hereby release the event, its organizers and all of its employees, associates, volunteers, sponsors and the event facility from any type liability in the event of injury, losses or death sustained while competing in this competition. I, the undersigned also state that I am in good physical condition and I know of no reason why I cannot participate in this martial arts event. I have current and valid health insurance. Divisions or weight classes are subject to change. There are no refunds for Pre-Registration, under any circumstances. In the event of an emergency, I hereby authorize any licensed medical personnel to perform any accepted medical procedure deemed necessary and I agree to bear the expense of such treatment. I also agree that my attendance and or performance at the tournament may be photographed, filmed or taped and can be used by any schools and I wave any compensation thereof. I the undersigned have read the rules and the release above and agree to all of its terms and I sign below to complete and validate this form.

*Signature - Please print your name in box below to serve as signature

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©Steel City Martial Arts
3842 Library Road (Route 88), Pittsburgh, PA 15234
412-531-2122
Steelcityma@aol.com