Gold Rush Tournament - Bennati's Martial Arts

The Bennatis Martial Arts Gold Rush Tournament is an Invitational Tournament. Before registering please check our list of approved dojo’s below. If your dojo is not on the list please call Bennatis Martial Arts at (530) 820-3232 for assistance. Thank you.

Gold Rush Registration 2020

Approved Dojo's - Please Selected Your Dojo*
If your dojo is not listed here, please call Bennati's Martial Arts for assistance (530) 820-3232
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Competitor Gender*
Competitor Age*
How Long Have You Been Training*
Year(s)
*
Months
Belt Level*
School Name*
School Phone #*
Martial Arts Style*
Please Select Primary Competition Activity*
Please Select 2nd Competition Activity*
Kata Selected
Please Select 3rd Competition Activity*
Spectator(s)
Price: $5.00 Quantity:
I Am*
- Over 18 Years of Age
- Under 18 Years of Age
Consent*
I agree to the Release and Waiver of Liability
By selecting yes, I do hereby voluntarily submit my application for participation and attendance in the Gold Rush Invitational. I hereby release all rights and claims for any injuries, loss or damage, which may hereafter occur to me or which I may have against Derek Bennati, Placer High School, Placer County School District and all individuals assisting in arranging, conducting or sponsors of this tournament. If less than 18 years of age, this release and consent form must be signed by a parent or guardian. By signing I further agree that any photo’s taken of me or my child may be used for promotional purposes without compensation.
Parent/Guardian Name*
First Last
BMA Admin Manual Entry

This field is for Bennati's Martial Arts Admin Purposes only. If you are registering as a competitor please disregard this field.
Total
$0.00
Phone
This field is for validation purposes and should be left unchanged.