Individual Registration

Please enter information in the form below to process registration for event 2023 Silverado Cup | Karate Tournament.

Username*

Password*

Retype password*

First Name *

Last Name *

Age on 7/15/2023 *

Gender *

Medical Disclosure *

Weight in pounds (lbs) *

Address *

City *

Zip *

Country *

State or Province

Phone *

Email *

Training Level *

Dojo Affiliation *

Kata Division *

Kumite Division *

2vs2 Kumite Division *

Amount

Payment processing fee

Gross Amount

Payment Method

Billing Zipcode*

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

By registering for this event, I accept Terms and Conditions

PHONE SUPPORT

(734) 447-3000 main

(734) 365-6925 call/text

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