Bushido Challenge Registration

(336) 270-0538
3600 North Duke St. Suite #102
Durham, NC 27704

"The Greatest Warrior is not he who conquers his enemies but he who conquers himself."
-Sensei Darian Stokes

Bushido Challenge Registration

id
date
Basic Info
Full Name
Age
Date of Birth
Gender

Male

Female
Address
City
State
Phone Number
Email
Martial Arts Info
Martial Arts Experience

Judo

Jujitsu

Brazilian Jujitsu

Wrestling

Other

None
Rank
Coach
Club
Tournament Info
Emergency Contact
Emergency Contact Number
Goal Weight
Insurance Affiliation
Member ID
Rules

I understand the risks involved with the sport of Judo and agree to sign the waiver presented at the tournament site.