Competition registration form

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Date

October 28, 2023

Time

9:00 to 19:00

Address

Ecole Louis-Philippe-Paré

235 Boul. Brisebois, Chateauguay QC J6K 3X4

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Full Name* This field is required.

First name

Last name

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Email address* This field is required.

example@example.com

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Date of Birth* This field is required.

Date

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Sex* This field is required.M or F

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Weight* This field is required.In pounds

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Height* This field is required.In Feet (ft,in)

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To help you in choosing the Kyu equivalence

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Belt Grade/Kyu* This field is required.

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Phone NumberCellular or home

Area Code

Phone number

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Kata* This field is required.

YESNO

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Kata elite (Brown belt and higher)* This field is required.

YESNO

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Semi-Contact or Semi-knockdown (Kumite)* This field is required.Rules for semi-contact will apply for 13 years and under

YESNO

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Full contact (18 years and over)* This field is required.

YESNO

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Dojo Email* This field is required.

exemple@exemple.com

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Martial Art Style* This field is required.

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Instructor Name* This field is required.

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City and Province, Country (If not Canada)* This field is required.

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Inscription FeesIf the participant registers for both “full contact” and “kata”, the fee will remain at $50.00

65$ One or two category

50$ Elite Kata

50$ Full Contact/One match

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Terms and Conditions* This field is required. I, the undersigned, hereby voluntarily submit my application to participate in the 2022 BUDO GIANT CHALLENGE as a competitor and I agree to abide by the regulations in force at this event. I also assume full responsibility for any damages, injuries or other offenses that I may suffer or inflict during this karate competition. I waive the right to bring any legal action or claim against the instructors or promoters of this tournament. I hereby grant consent that any photos and/or videos of me during this competition be used for advertising or promotion purposes by the organizers of the 2022 BUDO GIANT CHALLENGE and, if applicable, I waive any monetary claim and/or compensation. I understand that the monies paid with respect to this competition are not reimbursable (except in the case of the cancellation of the tournament). I agree that in the event of injury, the medical care that I will be provided on site will only be First Aid care. I have read this document and fully understand its meaning. I voluntarily agree to sign this disclaimer allowing me the opportunity to participate in the competition organized by the So Kyokushin Canada Karate Organization through Centre Karate Perez IKO Inc.

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Participant consent* This field is required.

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