Fushinryu Karate

Tournament Entry Form

KATA / KUMITE Taikai DATE______________

194 Archers Rd 10am start


Name:  ________________________________________
Age:   ___________ (as of the 1st Feb 08)
Gender: Male / Female
Divisions:   4-6   7-8   9-10   11-12   13-14   15-17   18+
*** Competitors remain in the same division for the year
Name:  ________________________________________
Age:   ___________ (as of the 1st Feb 08)
Gender: Male / Female
Divisions:   4-6   7-8   9-10   11-12   13-14   15-17   18+
*** Competitors remain in the same division for the year
Name:  ________________________________________
Age:   ___________ (as of the 1st Feb 08)
Gender: Male / Female
Divisions:   4-6   7-8   9-10   11-12   13-14   15-17   18+
*** Competitors remain in the same division for the year
Name:  ________________________________________
Age:   ___________ (as of the 1st Feb 08)
Gender: Male / Female
Divisions:   4-6   7-8   9-10   11-12   13-14   15-17   18+
*** Competitors remain in the same division for the year