Feb 03 2018 - Campbell River Shiai (Island Series) - Registration
This is the registration form for the Campbell River Island Series Shiai - Feb 03 2018 starting at 10am at the Phoenix Middle School Gym.

There will be regional training afterwards (~2:30pm) so members of the provincial team and TeamBC are encouraged to attend, help with timekeeping, refereeing or coaching!

Your information will be stored on Google drive and shared with the other island coaches for the purposes of creating balanced and fair divisions. If you are not comfortable with your information being shared on Google in this way then please contact your coach for alternative registration options (keeping in mind that this form is as private as an email).

If you have questions about this form or need to make a correction to your entry then you can email jeremy.grant.bc@gmail.com or yflynn1@telus.net - Joe Sheehan (CRJC representative).

Name (first) *
Your answer
Last
Your answer
Birth Year *
Your answer
Birthday *
MM
/
DD
/
YYYY
Rank
(White, Yellow, Y/O etc...)
Your answer
Weight *
Weight without the judogi top.
Your answer
Club *
Email *
Can be yours or your coaches
Your answer
Gender *
Special Requests/Comments
Extra divisions, strong competitor, new competitor
Your answer
Submit
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