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:
5-6
7-8
9-10
11-12
13-14
15-16
17+
Weight:
Sex:
Male
Female
Kata Team Members (Enter Both)
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