2012 WORLD KATA (pdf)

WORLD KATA CHAMPIONSHIP, Pordenone 2012
FORM 1 – COMPETITORS REGISTRATION FORM
More than one sheet can be used for the registration
FEDERATION:
____________________________
KATA : …………………….
Family Name First Name date of birth DAN
Tori
Uke
KATA : …………………….
Family Name First Name date of birth DAN
Tori
Uke
KATA : …………………….
Family Name First Name date of birth DAN
Tori
Uke
KATA : …………………….
Family Name First Name date of birth DAN
Tori
Uke
KATA : …………………….
Family Name First Name date of birth DAN
Tori
Uke
KATA : …………………….
Family Name First Name date of birth DAN
Tori
Uke
Please send this form no later than the 3 rd of September 2012 to the Organizer
_________________________
Date
________________________________________
Signature and stamp of Federation