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Myself

My Child

Parent/Guardian's First Name

Parent/Guardian Last Name

Competitor Information

Competitor's First Name *

Competitor's Last Name *

Competitor's Date of Birth *

Gender *

Male

Female

Belt Rank *

Address *

Street Address *

City *

State *

Country

Postal Code *

Communication

Email *

Phone *

School/Organization Info

School Name *

Instructor Name *

Are You A Competitor or a School Owner? *

Competitor

School Owner

Both

Event Selection

*

Forms

Fighting

Weapons (Blue Belt & Up)

Please Check All Events You're Participating In

Sell Products *

Tournament Registration

Registration Includes up to 3 Events

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$60

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By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.

I, the undersigned, hereby release MIKA Inc., MIKA’s Capital City Showdown Tournament, the Augusta Civic Center, and all persons and organizations associated with this event in any capacity from being sued or held liable for any injury or damages that may occur as a result of my attendance and/or participation in the above-named event. Furthermore, I hereby waive any compensation whatsoever for the use of my picture, movie, or media coverage to be utilized by those associated with this event at any time.

Competitor/Parent Guardian (if under 18) Signature *

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-February 1, 2026-

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