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CCIKA 2021 Fall Dojo Tournament
Participant Information
Participant
First Name
*
Last Name
*
Gender
*
Female
Male
Birth Date
*
+
Age
*
Rank
*
Beginner ** White Belt - up
Intermediate ** Green Belt - up
Advance ** Brown Belt - up
Black Belt **
Choose 2 events - $30
2 Event Fee
*
🛈
$30 (2 events)
Event 1
*
Kata/Form
Sparring
Weapons
Breaking
Event 2
*
Kata/Form
Sparring
Weapons
Breaking
Choose 3 events = $40
3 Event Fee
🛈
$10 (3 events)
Event 3
Kata/Form
Sparring
Weapons
Breaking
NONE
Choose 4 events = $45
4 Event Fee
🛈
$10 (4 events)
Event 4
Kata/Form
Sparring
Weapons
Breaking
NONE
Session Times
Dojo Session Times:
🛈
Session 1 / 8:30am - 11am
Session 2 / 11am - 2pm
Online Session Times:
🛈
Session 1 / 8:30am - 11am
Session 2 / 11am - 2pm
Student / Adult Contact
Relationship to Participants:
*
Parent/Gardian (under 18 yrs.)
Self (18 + yrs.)
Full Name
*
Email Address
*
Judges
Click here if you would like to be a Judge.
🛈
(must be advance level)
Have you Judged in a tournament before?
Yes
No