Open Mat Registration
Join us for Shunkenkan's Open Mat Event!
• 16 January 2025 • 34B Georginia Street, Horison • • Juniors - 17:00 / Seniors 18:00 •
Name
Name
Surname
Contact nr
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
How many participants will be joining the event
Experience Level
Beginner
Intermediate
Advanced
Coach/ Instructor
Affiliated Dojo/Gym
Which of the following age groups would you be participation in
junior (6-12 yrs)
Seniors (13-15 yrs)
Seniors (16-18)
Seniors (19yrs +)
Any Medical Conditions We Should Be Aware Of?
Waiver Agreement - I agree to participate at my own risk and will not hold Shunkenkan liable for any injuries or damages
Yes
No
Register Now
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