PATMA Tournament Registration Form 2012 - USA Wado Ryu ...

USA Wado-Ryu Karate Championship 2013FAMILY RATESSpecial registration rates are being offered to families who pre register onlyRegistration Deadline: Mar 20, 2013This applies to immediate family members only (husbands/wives, parents/children, siblings).INSTRUCTIONS1. Use separate tournament registration form for each family member.2. For each family, use check box to select: first, second, third or fourth family member.3. Submitt all registration forms together with payment for all members (one check for all combined members isacceptable), payment must be in full for discounts to apply.4. No family rates accepted after pre registration date.RATE SCALE1STFAMILY MEMBER: 1 EVENT = $45.00 2 = $50.00 3 = $55.00 4 = $60.00 (Standard Rates)ND2 FAMILY MEMBER: 1 EVENT = $40.00 2 = $45.00 3 = $50.00 4 = $55.00 ($5.00 Discount)RD3 FAMILY MEMBER: 1 EVENT = $35.00 2 = $40.00 3 = $45.00 4 = $50.00 ($10.00 Discount)TH4 FAMILY MEMBER: 1 EVENT = $30.00 2 = $35.00 3 = $40.00 4 = $45.00 ($15.00 Discount)PATMA DirectorsDavid Crockett Enrique Mares Shoji Nishimura Tomohiro Arashiro Tony Rios