JudoSA Competition Nomination Form

Competition Date: Sunday 21-May-2017
1 nomination per player

Player Information

First Name

Last Name

Email Address

Street Address

City

Post Code

State

Club

Phone Number

Grade

JFA Registration Number

Kyu Grade Certificate Number

Gender

Special Needs

Date of Birth

Minimum Grade for entry - 4 Kyu (full Orange Belt)
The deadline for ENTRY FORMS and PAYMENT for this Tournament is 5pm (CST)
on Wednesday 17-May-2017.
NO LATE ENTRIES WILL BE ACCEPTED
Any registration issues, please notify Meera Verma. Email: events@judosa.com.au