Please print the following application form. You will need to have
Microsoft Word installed on your computer in order to view and print. If
for some reason you are having problems opening the file, please print this
webpage.
Click here to download the fighters
application
PLACE PICTURES HERE
FIGHTER APPLICATION
DATE: OCTOBER 12, 2002
ELIMINATION'S: 11:00 AM. FINALS: 6:00 PM.
PRE-REGISTRATION DEADLINE: SEPTEMBER 01, 2002
ALL ENTRY FEES ARE NOT REFUNDABLE
MAIL MONEY ORDER TO:
MAS OYAMA'S MEMORIAL CUP
6707 JARRY
ST-LEONARD, QUEBEC
CANADA
H1P 1W6
NO CHECKS WILL BE
ACCEPTED |
COMPETITION FEE: |
$50.00 (Adult Division)
$40.00 (Junior Division)
ALONG WITH 2 PICTURE |
__________________________________________________________________
PLEASE MARK AN "X" IN APPROPRIATE DIVISION:
|
ADULT CATEGORY
|
JUNIOR CATEGORY
|
SENIOR CATEGORY |
MEN'S:
|
____LIGHT WEIGHT 160 LBS. & UNDER
|
____LIGHT WEIGHT 150 LBS. & UNDER
|
___OPEN WEIGHT
|
|
____MIDDLE WEIGHT 161 - 179 LBS.
|
____HEAVY WEIGHT 151 LBS. & OVER
|
|
____HEAVY WEIGHT 180 LBS. & OVER
|
|
|
WOMEN'S:
|
____LIGHT WEIGHT 144 LBS. & UNDER
|
____LIGHT WEIGHT 144 LBS. & UNDER
|
___OPEN WEIGHT
|
|
____HEAVY WEIGHT 145 LBS. & OVER |
____HEAVY WEIGHT 145 LBS. & OVER |
_________________________________________________________________
SEX: _____MALE _____FEMALE AGE:_____________
NAME:____________________________________________________________
ADDRESS:_________________________________________________________
TEL:__(____)___________________ DATE OF BIRTH:___________________
WEIGHT:____________ HEIGHT:____________ RANK:____________
STYLE:____________________ INSTRUCTOR:______________________
Dojo:___________________ Dojo TEL:(____)__________________
YEAR TOURNAMENT NAME RESULT
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
***FEEL FREE TO FAX US YOUR APPLICATION AT (514)323-6438***
OR EMAIL TO: shihan@total.net
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