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Individual Registration
Competitor Information
Email address *
First Name *
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Last Name *
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Dojo Name *
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Instructor's Name *
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Style *
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Karate BC Club *
Phone *
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Address *
Full address including Postal/Zip code:
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Are you from OUTSIDE of British Columbia? *
Age *
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Male or Female *
Division Reference - Check the appropriate boxes in the 2 sections below
Weapons Kata Events
Team Kata Events
Please have only 1 member register per team and fill in the team name in the following field.
Team Name
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Kata Events
Kumite Events
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