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Aikikai Ireland June Bank Holiday Survey
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* Indicates required question
Forename
*
Your answer
Surname
*
Your answer
Address
*
Your answer
County
*
Your answer
Country
*
Your answer
Email
*
Your answer
Mobile
*
Your answer
Dojo / Organisation
*
Your answer
Kyu/Dan
*
Choose
MuKyu
6th Kyu
5th Kyu
4th Kyu
3rd Kyu
2nd Kyu
1st Kyu
1st Dan
2nd Dan
3rd Dan
4th Dan
5th Dan
6th Dan
7th Dan
Date of Birth
*
MM
/
DD
/
YYYY
Food
*
Vegetarian
Meat
Notes for organisers
Your answer
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