ABCDEFGHIJKLMNOPQRSTUVWXYZAAABACADAE
1
2025 WDSF BREAKING WORLD CHAMPIONSHIPS
2
Accommodation List
3
4
Name of Delegation
5
Person in Charge
6
E-mail
7
Phone
8
Please fill out this application form.
9
No.RoleOfficials
(Only 2 B-boys / 2 B-girls / 2 Coaches)		NameNamePassport
Number		GenderCheck-in
Date		Check-out
Date		Number of NightsRemarks
10
(Native Language)
(English)
11
1Officials0
12
2​0
13
3​0
14
4​0
15
5​0
16
6​0
17
7​0
18
8​0
19
9​0
20
10​0
21
11​0
22
12​0
23
13​0
24
14​0
25
15​0
26
27
Submission InstructionAccommodation Fee
28
Note：This form must be submitted by the representative of each Delegation.

【Hotel Details】
■Green Rich Hotel Kurume
(Address：18-1 Hiyoshi-machi, Kurume-shi, Fukuoka 830-0017, Japan)
※
▼Athletes
・Number of free accommodations provided per country: 2 male and 2 female athletes
・Accommodation period: Check-in: 11 December 2025 / Check-out: 14 December 2025

▼Officials
・Number of free accommodations provided per country: 2 officials
・Accommodation period: Check-in: 11 December 2025 / Check-out: 14 December 2025

▼Extra Members and Extra Nights
・Please provide details of any additional members & nights requiring accommodation.

※One person per room.

■Passport Submission
Please make sure to send a copy of the passport for all members via email.		CategoryAmountRemarks
29
Official BboysFree※Only 2 Bboys
30
Official BgirlsFree※Only 2 Bgirls
31
Official Coaches
Free※Only 2 Coaches
32
Extra Night14,000 yen ~Roomtype: single, twin...etc. Ask the person in charge.
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100