2019 West Coast Gojukai Skills Challenge
Event Timing: March 2nd, 2019 - 9:00 AM - 1:00 PM
Event Address: Hillcrest Middle School, 2161 Regan Ave, Coquitlam, BC

For 13 years and under, novice and intermediate level

Email address *
What is the name of the dojo where you practice? *
What style of karate do you practice? *
What is the Instructor's name? *
Your answer
What is the participant's name? *
Your answer
What is the participant's age? *
Age as of March 2nd, 2019
Your answer
Participant's Karate BC number *
If the student is not a Karate BC member please state: Not a member
Your answer
Competition Divisions
DIVISIONS CHITO/SHITO GIMA-HA WADO GOJU SHOTOKAN
Novice 6-5 10-7 8-7 10-8 9-8
Intermediate 4-3 6-4 6-4 7-4 7-4

Age Code Division --> All Competitors
7 & under A1 All Belts
8/9 A2 Novice
A3 Intermediate
10/11 A4 Novice
A5 Intermediate
12/13 A6 Novice
A7 Intermediate
13 & under A10 Team Kata
13 & under A11 Weapons - Novice
13 & under A12 Weapons - Intermediate

Girls and Boys will be combined for the purposes of this challenge except for the 10/11 and 12/13 kumite
free sparring events

Select the appropriate age and belt level for the participant. Team Kata and Weapons may also be selected. *
Required
If you have selected Team Kata, do you have teammates for team kata?
What are the names of your Team Kata team members?
up to 4 people mixed male/female
Your answer
Click the link below to download the Welcome Package, required forms and payment instructions. Be reminded: In order to participate, completed Acknowledgement and Release forms and the Medical form need to be submitted to the head table prior to participation.
Complete, sign and bring these forms to the tournament. Click the link below to download forms https://drive.google.com/file/d/1uoQyOwqv3V3cfRl5C0OtzMhH__xul335/view?usp=sharing
Your answer
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