DEADLINE FOR REGISTRATION IS FEBRUARY 01, 2004

PRE REGISTRATION BY MAIL OR FAX 

**Enclosed is my Money Order in the amount of $ ________________ 

for the division of___________________________________________

made payable to: Mas Oyama's Memorial Gold Cup
		 3677 Boul. St. Jean
                 Dollard-des-Ormeaux, Quebec 
		 Canada
		 H9G 1X2

Please read the following and sign below. All minors under 18 years 
of age MUST have a parent or guardian's signature. This MUST 
be returned with application.

The participant agrees to comply with the rules and regulations
of the MAS OYAMA'S MEMORIAL CUP, Lester B. Pearson High School or
any of their officers, agents, employees or any individuals
connected with the organization or promotion of any of THE EVENTS,
and the participant expressly assumes all risks of whatsoever 
nature resulting from participation therein.

Additionally, I am fully aware of my personal medical conditions
and hereby certify that I am mentally and physically fit to 
compete in THE EVENTS. 

Last, I hereby waive any compensation of whatever kind for use of 
pictures, videotape or other likenesses or reproductions for media 
coverage, press releases or interviews utilized by those producing 
or directing this event at any time.

Signature:______________________

Parent or Guardian (if under 18 yrs):___________________________

_____ 	Check here to review all the information/blanks above to
	make sure everything is filled out completely!

***FEEL FREE TO E-MAIL US YOUR APPLICATION AT: shihanroman@videotron.ca***