DIVISION 2 2024 (3 of 3) Registration Entry Form Saturday 5th October at Rayleigh Primary School Love Lane Rayleigh Essex Approx times will be emailed out to competitors once the booking form has closed. (Usually 1-2 hours duration for your event to be completed)

Club Please choose your clubFORZA KARATE CLUBJ HONEYWOOD KARATE ACADEMYFRONTIER SCHOOLS OF KARATETCBIKC Competitors Name * Contact E-mail * Emergency Contact * Licence Number * Licence Exp *

Events to enter - Please register no more than 3 events

1. 4-6 years all grades Kata 2. 4-6 years all grades mixed Kumite 3. 4-6 years all grades Slam Man 4. 7-10 years all grades Kata 5. 7-10 years all grades Kumite 6. 7-10 years all grades Slam man 7. 11-13 years all grades Kata 8. 11-13 years Boys all grades Kumite 8b. 11-13 years Girls all grades Kumite 9. 11-13 years all grades Slam Man 10. Boys 14 - 15 years Kumite 11. Girls 14 -15 years Kumite 12. Mixed 14-15 years Kata

Payment for entry * Select an option:Child Entry in 1,2 or 3 events (£30.00 GBP)

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