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Participant Registration & Application Form

Event Details:
Date: Sunday, February 9, 2025
Location: BUSHI BAN International World Headquarters 7770 Spencer Hwy, Pasadena, TX 77505

Thank you for your interest in participating in the Iron Warrior Kumite Endurance Challenge. This form is for individuals who wish to spar against the endurance challenger during this event. Please complete all sections of this form accurately.

Participant Information

Event Rules & Requirements
1. Safety Gear: All participants must bring their own safety gear, including gloves, mouthguards, shin guards, and headgear.
2. Participation Fee: $10 per round. Proceeds will benefit the Martial Arts for Humanity Foundation.
3. Health Condition: All participants must be in good health and injury-free.

By signing below, you acknowledge and agree to all terms and conditions outlined in the Waiver of Liability and Release Agreement.

Waiver of Liability and Release Agreement

Acknowledgment of Risk
I, the undersigned participant, fully understand that the Iron Warrior Kumite Endurance Challenge is a full-contact martial arts event that is combative in nature. I acknowledge that participation in this event may result in minor or severe injuries, permanent disability, or even death. I voluntarily assume all risks associated with participating in this event.

Release of Liability
I hereby release and hold harmless the organizers, management, officials, and affiliates of the Iron Warrior Kumite Endurance Challenge, including BUSHI BAN International, from any and all claims, liabilities, damages, or losses resulting from my participation. This release extends to injuries, property damage, or any other loss incurred during the event.

Consent for Media Use
I grant permission for any photos, videos, audio recordings, or other digital media captured during the event to be used by BUSHI BAN International and its affiliates for marketing, advertising, promotional, and publicity purposes without compensation or notification.

Acknowledgment of Terms
I confirm that:
• I am in good health and free from any injuries that would impede my participation.
• I am participating of my own free will and understand that no financial or other remuneration will be provided.
• I have read, understood, and agree to all terms stated in this waiver.


Please do your signature below using your mouse/finger.

$ 10

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