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Ken Tamai Memorial Judo Tournament
Event Timing: Saturday, March 17, 2018
Event Address: DeMatha Catholic High School, 4318 Madison St, Hyattsville, MD 20781
Contact us at 703-622-6861 (Kevin), 301-537-5836 (Kurt)
Complete Entry Package Includes:
1. Entry form information (Google Forms or PDF Form)
2. Payment (Paypal, check via mail, check onsite, credit card onsite. NOTE: any onsite payments will be charged the late registration fees)
3. Signed Certificate Regarding Non--Black Belt Contestant(mail, text, or email) or email approval from your Sensei
4. Signed Waiver (mail, text, or email)
5. Copy of your USA Judo, USJA, USJF, or ATJA membership card (mail, text, or email)

Send Text to (301) 537-5836
Send emails to collegeparkjudo@aol.com

Competitors Full Name: *
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Home Address *
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email address: *
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Judo Club *
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Gender *
Birthday *
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Age *
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Weight *
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Rank *
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National Judo Organization *
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National Judo Organization Number *
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National Organization Expiration Date *
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Competition *
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Kata: Advanced or Novice, Nage, Katame, Juno Kime, or Goshin
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Assistance
I will provide the certificate regarding Non-Black Belt contestant: *
Required
Sensei's Email Address *
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Sensei's Name *
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Registration Fee Schedule
Late Registration (Mar 10 to 15)
60.00 single entry, 60.00 kata team single kata, 30.00 second division/kata
No Onsite Registration.
Registration Closed after March 15
Payment Method *
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Any additional comments/information:
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