Registration Form (Use the attached electronic worksheet, or make copies of this form and submit on paper) Indiv Total Individual Individual Team Team Event T-Shirt Late Individual First Name Last Name Division Sex Age Rank Kata Kumite Kata Kumite T-Shirt Fees Fees Fees Fees X= X= $20 per Dan 1-Dan 10 Competing Competing Youth sizes: person Youth Age Kyu 1-Kyu 9 as captain, as captain, YS, YM, YL sent Adult Male (as of (Kyu X= X= member, member, Adult sizes: $20/ after Senior Female 4/16/11) 9=ungraded) Competing Competing or alternate or alternate S, M, L, XL shirt 3/14/11
Registration Form (Use the attached electronic worksheet, or make copies of this form and submit on paper) First Name Last Name Division Sex Age Rank Individual Kata Individual Kumite Team Kata Team Kumite T-Shirt Indiv Event Fees T-Shirt Fees Late Fees Total Individual Fees Youth Adult Senior Male Female Age (as of 4/16/11) Dan 1-Dan 10 Kyu 1-Kyu 9 (Kyu 9=ungraded) X= Competing X= Competing X= Competing as captain, member, or alternate X= Competing as captain, member, or alternate Youth sizes: YS, YM, YL Adult sizes: S, M, L, XL $20/ shirt $20 per person sent after 3/14/11
XRegistrationInfo2011Tournament.docx