EUROPEAN CUP FEMALE OPEN WEIGHT
Drachten, 21 november 2010
School :
place :
teacher :
Phone number :
Mobile number :
Mail adress :
Website :
|
Full name |
Weight |
Degree |
Age |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The organization in not responsible for any mishaps or injuries that might occur while participating in this tournament.
I herewith confirm that above fighters know that they compete on their own risk.
Signature : …………………………………………………………….
Name : ………………………………………………………..….
This entry form is required by: 22th October 2010
Please return this form by mail by E-mail to: info@kyokushinkarate.nl