Tournament Registration for 2019 ECUSKF Johnson Cup

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please fill out completely for each participant. Entries submitted after October 1, 2019, may not be accepted. If you have any questions, please contact Jyoshu Tsushima (tsushimaj@gmail.com). A copy of this form will be emailed to the email address entered below once submitted.

A copy of your submission will be submitted to the email address provided below.

Email *

First Name *

Last Name *

Age *

Gender *

Male

Female

Phone Number *

Address (Street, City, State, ZIP) *

Rank *

Dojo Name *

Emergency Contact Name *

Emergency Contact Phone Number *

Medical Conditions

Individual Division *

Select all that apply. Divisions are subject to change based on the number of participants.

No Bogu (see information packet for explanation)

No Dan Junior (9 years old & younger)

No Dan Youth (10-11 years old)

No Dan Senior Youth (12-13 years old)

No Dan Adult (Mudansha)(14 & up)

1 - 3 Dan (Johnson Cup)

4 Dan & up

Not participating

Women's Individual? (13 and up) *

Yes

Team Division *

Youth Teams (12 and under)

Adult Teams (13 and up)

Not participating.

Number of lunches for Saturday Tournament *

$11 each

How many people will attend the dinner party on Saturday (October 12, 2019)? *

I acknowledge that the purpose of this form is for the preparation of the 2019 ECUSKF Johnson Cup. Before the participant named in this form is confirmed for the 2019 ECUSKF Johnson Cup, a waiver of liability signed by participant or legal guardian, participation fees, and bento fees must be received according to the Tournament Instructions. *

Yes, I agree

Required

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms