2020 Bushido Challenge Registration

(336) 270-0538

Bushido Challenge Kuhaku Shiai !

Participant Registration Form

Participant Name *

First

Last

Address *

Phone Number *

Email *

Birth Date *

Age *

Gender

Weight *

Judo Rank *

Judo Belt Color *

Dojo Name *

Dojo Address *

Dojo Phone Number *

Sensei Name *

Dojo or Sensei Email

Registered Organization Name *

Registered Organization Number (From ID Card) *

You must present one of these cards at weigh-in. The card must be current.

How Many Total Divisions Would You Like to Compete In? *

2 Division Limit. $35 for 1st Division, $10 additional for 2nd Division

If Requesting to Compete in More than One Division, Would You Like to Compete in the Next Higher Weight Class if Available?

Notes: Matches will be paired by actual weight class at the time of weigh-in. Maximum 10% differential for Juniors Divisions. Maximum 15% for Senior Divisions will be considered based on entries. - All exceptions cleared with Athlete, Coach, and/or Parents

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