EUROPEAN CUP COUNTRY TEAMS
Drachten, 21 november 2010
Organization :
Country representative :
Country :
Mail adress :
Website :
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-70 kg
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-70 kg
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-80 kg
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-80 kg
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+80 kg
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-70 kg reserve
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-80 kg reserve
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Please send in by mail a passport photo from each team member with name!
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