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Competitors Registration
              First Annual Invitational Karate Competition

                                 Saturday October 13th, 2012
                                      (2:00 to 4:00 p.m.)
Name _______________________________________________________________________
                     first                                   last

Dojo Name __________________________________________________________________

Age _______________________

Rank or Belt Color _____________________

Gender _______________

Events
                  Kumite (only)______            Kata (only) _______             Both events_______

                  Team Kata ______               Team Kumite ______              Team Bunkai ________

Children (6-17)                          _____          Adults_______________
Kata or Kumite ONLY $15.00                            Kata or Kumite ONLY $25.00

Both $20.00                                           Both $ 30.00

Teams $30.00 (3)                                      Teams $45.00 (3)


Kata Team___________________,______________________,___________________

Kumite Team __________________,______________________,__________________

Bunkai Team___________________,______________________,__________________

                                                                                 st
DEADLINE: TO YOUR INSTRUCTOR Payment and registration – October 1                     , 2012

-------------------------------------------------------------------------------------------------------
ATTENTION INSTRUCTORS:**** Make sure this sheet is completed and included
with your rollup sheet.
Entry can be mailed or dropped off at: 114 Whillier Drive, Brandon, Mb. R7B 0X0
Please include roll sheet. If you need more information you can contact Wendy
Flannigan 204-727-8625 or email: wflannigan@mts.net

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General Registration Form Brandon Invitational Karate Tournament 2012

  • 1. Competitors Registration First Annual Invitational Karate Competition Saturday October 13th, 2012 (2:00 to 4:00 p.m.) Name _______________________________________________________________________ first last Dojo Name __________________________________________________________________ Age _______________________ Rank or Belt Color _____________________ Gender _______________ Events Kumite (only)______ Kata (only) _______ Both events_______ Team Kata ______ Team Kumite ______ Team Bunkai ________ Children (6-17) _____ Adults_______________ Kata or Kumite ONLY $15.00 Kata or Kumite ONLY $25.00 Both $20.00 Both $ 30.00 Teams $30.00 (3) Teams $45.00 (3) Kata Team___________________,______________________,___________________ Kumite Team __________________,______________________,__________________ Bunkai Team___________________,______________________,__________________ st DEADLINE: TO YOUR INSTRUCTOR Payment and registration – October 1 , 2012 ------------------------------------------------------------------------------------------------------- ATTENTION INSTRUCTORS:**** Make sure this sheet is completed and included with your rollup sheet. Entry can be mailed or dropped off at: 114 Whillier Drive, Brandon, Mb. R7B 0X0 Please include roll sheet. If you need more information you can contact Wendy Flannigan 204-727-8625 or email: wflannigan@mts.net