Tournament Registration

Pricing
Early   $69 for 1 or 2 events, $35 for each additional event (Sep 1, 2017 - Oct 9, 2017)
Standard   $79 for 1 or 2 events, $40 for each additional event (Oct 10, 2017 - Oct 30, 2017)
Late   $89 for 1 or 2 events, $45 for each additional event (Oct 31, 2017 - Nov 16, 2017)
  

Step 1 of 2

Enter your registration information below. All fields are required.

Participant

First Name
Last Name
Address
City
State / Province
Zipcode / Postal Code
Phone
Email Address         
Age
Gender male      female

Credit Card

Credit Cardholder's Name
Credit Card Number
Expiration Date
Card Security Code

Villari's

School Location   Other
Rank
Instructor

Tournament

Events to compete in
Base price includes 2 events



Waiver

In consideration of your acceptance of my entry, I do hereby for myself, my heirs, executors, and administrators, waive, release and discharge against VILLARI'S NORTHEAST LLC and/or its departments, officers, agents, representatives, successors, and/or assigns, and against any participant for any and all damages which may be sustained by me in connection with my association with or entry in the above athletic event, or which may arise out of my traveling to, participating in, or returning from said event.

I understand that the entry fee is non-refundable and non-transferable. I hereby grant full permission to VILLARI'S NORTHEAST LLC to use photographs, videotapes, or any other record of this event.

I hereby give permission to the attending physician or other medical personnel to treat the registered individual in the event of an emergency.