Gathering of Eagles 2026 Registration

Registration

GOE2026 & Kenpo International Hall of Fame Banquet
Name*

First NameLast Name
Email*
example@example.com
Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone*
What is your age?*
Martial Arts Style*
Current Rank*
School Name*
Instructor*
School Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Studio Phone #
PayPal (can use credit/debit card thru PayPal)By check
Choose your Gathering Experience

Select the number of passes that you would like for each event:
Tracy’s Kenpo Karate
503 O’Hara Drive, Suite 6
Troy, IL 62294
Seminars and Banquet ($249 USD)
Banquet Only ($60)
Select your Gathering Experience*
prevnext( X )
Seminars and Banquet
$249.00 Quantity

Banquet Only
$60.00 Quantity

Total

$0.00
Liability Waiver and Hold Harmless Agreement:

By submission of this registration form, I, we, or parent(s) of the above named person(s), who is/are participating in the above named martial arts event/seminars, hereby give my/our approval for his/her participation in any and all activities of the event. I/We assume all risks incidental to the conduct of the class. I/We do further release, absolve, indemnify and hold harmless Tracy’s Kenpo Karate of Troy, IL, the event organizers, instructors, sponsors and supervisors, agents and employees associated with the event, including Tracy's Inernational Kenpo Karate Association. In case of injury to my/our child/children or myself, I/We hereby waive all claims against the organizers, sponsors or any of the supervisors appointed to them. I/We likewise release from responsibility any person transporting my/our child/children or myself, to or from the event or activity.
Yes
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Email
example@example.com
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Registration

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