35th Annual U of M Karate Tournament Registration Form- Youth
February 26, 2022
University Rec Well Center | 123 SE Harvard St Minneapolis
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Email *
Participant Information
Participant Name ( First and Last Name ) *
Participant Phone Number
Date of Birth *
Age at Time of Event *
Gender *
Dojo/Style/System *
Rank *
Medications, Allergies, Injuries, Sensitivities, and Medical Issues (if any)
Parent/Guardian- Name, Email, Phone Number *
Additional Emergency Contact- Name, Relationship, Contact Phone Number
We will contact Parent/Guardian first
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