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Irikumi late

To be used for late registrations by invite only. Please don’t register unless you have had an invite from your instructor.

    First Name

    Last Name

    Email
    Please avoid using yahoo, aol and hotmail because these legacy domains don't work well with our system and you may not receive confirmation.

    Phone

    Age

    Dojo of practice

    Grade

    Height

    Membership/licence
    Association membership including insurance up to date:

    If you are not sure, please check your membership status with your club instructor and make sure your insurance covers you for semi-contact and/or kata competition.

    Categories
    Please tick the categories you wish to take part in:
    Individual KataTeam KataKumite

    Competitor/Parent/guardian consent

    In signing this form, it is accepted and understood that the competitor will agree to abide by the competition’s rules and they accept the judges’ decision to be final. If he or she enters the kumite event they agree to wear full safety gear, and they understand that whilst all efforts will be made to ensure safety, karate is a contact sport and there is a risk of personal injury. I also agree to pay the competition entry fee of £25 (£20 for families with 2 or more competitors).

    Competitors below the age of 18 years must have this form consent by their parent of guardian
    Parent/guardian name (for under 18s)

    Spectators pay £2 each for up to 2 accompanying spectators per family and £10 for additional spectators. You may pay on the day for addition spectators, subject to available space.

    Participants + spectators
    You will be taken to the payment page after submitting this form. Competitor fees are refundable with no cancelation fee before 30th September, no refund thereafter.

    Any notes
    - Include names of team kata members if known.
    - Any learning or physical difficulties that we should know about.