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Villari's Self Defense & Wellness Center, LLC

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Form - Tournament Registration Form

May 11th
9am to completion (appox. 2-3pm) Registration fee- $50
Please make sure you get the following message when complete:
Thank You, you will be grouped with other competitors. If there is a problem you will be notified.
Student Name (required)
First Name (required)
Last Name (required)
Age & Rank (required)

Gender (required)

Location you train at & Instructor (required)

Phone (required)
Phone TypePhone Number (required)
E-Mail Address (required) :
Payment


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Give us a call!
   (802)864-0844

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