East Side Judo Circuit - Event 2
Judoka's Last Name *
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Judoka's First Name *
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Judoka's gender *
Judoka's Date of Birth *
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Judoka's Age on January 19, 2019 *
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Judoka's Estimated weight (in pounds) *
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Judo rank (Color of your belt) *
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Primary Bracket *
2nd Bracket *
Dojo Name *
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Name of Instructor *
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Instructor's Email *
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