Louisiana State Tournament 2008 Entry Form
Your Name *
Rank *
Age *
Address *
City/State/Zip *
Phone *
Email *
Club
USJA/USJF/USJI Member #
Expiration
Emergency Contact
Telephone Number
Division Entered (Only one form per entry): *
 Juniors 
 Novice Men (Green and Under) 
 Novice Women 
 Senior Men 
 Senior Women 
 Masters Men 
 Masters Women 
 Nage No Kata 
 Katame No Kata 
 Goshin Jitus 
Age: *
Weight: *
Sex: *
Kata Team Members (Enter Both)
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