Northern Region Championships - Club Entry Form
One form per competitor. Please enter instructor/secretary email address below. A copy of the form will be sent to the email address provided.
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Email *
Club Name *
Competitor name *
Adult's Individual Kata 1/2
Adult's Individual Kata 2/2
Adult's Individual Kumite
Children's Individual Kata 1/2
Children Individual Kata 2/2
Children's Individual Kumite
Team Kata
Team Kumite
For more information on the entries, please refer to the for full information. 

All KUGB Kumite events are controlled by qualified KUGB officials, who expect high standards of behaviour, including the proper control of techniques. However, injuries can occur in Kumite and the KUGB cannot accept responsibility for such injuries. Qualified First Aid personnel are always in attendance at KUGB championships. It is the responsibility of the club instructor to make the risk of injury clear to competitors, parents or guardians. 

I can confirm that the person named above has a current KUGB licence.
A copy of your responses will be emailed to the address you provided.
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