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Welland Bunkai Level 1 Clinic
** Note - you will have to fill this form out for each individual competitor
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First Name
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Last Name
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Dojo (Club)
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Instructor
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Email Address
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Phone Number
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Passbook Number
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Enter Your Age.
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Gender
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Rank
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Shodan
Nidan
Sandan
Yodan
Godan & Up
I understand that I will have to pay the $100 Bunkai Level 1 clinic fee via eTransfer to Sensei Denis Labbe (
ddlabbe3@gmail.com
).
Please Put your Name and Bunkai Level 1 Clinic as the explanation of payment in the eTransfer comments. Please use karate as the security question password.
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Individual Registration $100
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