Hajiya Zainab Saleh International Female Karate Open Championship 2017 - REGISTRATION FORM
Dear All,

Please complete the form below to register athletes for the Hajiya Zainab Saleh International Female Karate Open Championships 2017. We will apply the WKF Competition Rules (version 2017) during the competition.

Please note the following:

1. A registration fee of N500.00 (Five Hundred Naira Only) per event per individual should be paid to:

BANK: Zenith
ACCOUNT NAME: Hajiya Zainab Saleh
ACCOUNT NUMBER: 1003276504
SORT CODE: 057150291

2. Please enter the club or state name in the appropriate section when filling the form. Registrations will not be accepted if payment is not received. When making payment, please include the name or club of the athlete(s) in the description field so we know the person making the payment.

3. Fields marked with an asterix are compulsory.

4. REGISTER EACH ATHLETE BY FILLING A DIFFERENT FORM.

5. This registration form will go offline on 2nd October 2017 and will no longer be accessible.

6. After clicking the submit button, you will receive this message "Your response has been recorded".

For further enquiries, please contact
Hajiya Zainab Saleh,
Technical Director Lagos State Karate Association
lagosstatekarateassociation02@gmail.com

For registration enquiries, please contact the Tournament Director.

Olusegun Akinola (6th Dan)
Member, African Karate Federation Referees Commission
African Karate Referee and World Karate Judge
olusegundavid.akinola@gmail.com

Email address *
Last Name *
Competitor's Last Name
Your answer
First Name *
Competitor's First Name
Your answer
Date of Birth *
Competitor's Date of Birth
MM
/
DD
/
YYYY
Age *
Competitor's Age
Your answer
Weight
Competitor's Weight
Your answer
Rank *
Competitor's Rank
Your answer
Instructor's Name
Your answer
Instructor's Phone Number
Your answer
Club
Your answer
State *
Your answer
Amount Paid *
Your answer
Teller or Reference Number *
Your answer
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