Registration Form | koshukaicanada

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Registration

Welcome to Koshukai Tournament

First Name

Last Name

Email

Address

Phone

Name of Sensei

Style of Karate

Karate Rank

Kobudo Rank (if applicable)

Age

Male

Female

How many will you be?

Uechy Ryu

Other

Number of Years Training (if not Uechi Ryu)

Number of Years Training

If competing in Kumite Height & Weight

How will you attend?

Physically

Online

Is this your first time attending?

Yes

No

Thanks for registering. See you there!

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