Palm
Beach County Judo Championship
The 2001 PJU Circuit
Palm Beach County Judo Championship
Boca Raton, Florida, USA
2001 PJU Circuit Palm Beach County Judo Championship
FOR INTERNATIONAL DELEGATIONS ONLY
Country/Federation: __________________________________________
Telephone and Fax Number:____________________________________
Email Address: ______________________________________________
Officials/Coaches/Referees:
|
Family Name (Surname) |
Given Name (First Name) |
Date of Birth |
M/F |
Position Official/Coach/Referee |
Male Athletes / Masculino Atletas:
|
Category (55kg, etc.) |
Family Name (Surname) |
Given Name (First Name) |
Date of Birth |
Training Camp? (Y/N) |
Female Athletes / Femenino Atletas:
|
Category (55kg, etc.) |
Family Name (Surname) |
Given Name (First Name) |
Date of Birth |
Training Camp? (Y/N) |
FAX OR MAIL THIS FORM TO: GERRY NAVARRO:
16131 N.W. 12 Street; Pembroke Pines, FL; 33028; (954) 435-6976
2001 PJU Circuit Palm Beach County Judo Championship
ARRIVAL/DEPARTURE INFORMATION / INFORMACIÓN DE VUELOS
FOR INTERNATIONAL DELEGATIONS ONLY
Please complete the following travel itinerary and fax it to:
Mr. Gerry Navarro: (954) 435-6976 by April 24, 2001.
No transportation will be provided unless an itinerary is received in advance.
COUNTRY / FEDERACIÓN: ________________________________
TELEPHONE: _____________________ FAX: __________________
EMAIL ADDRESS: ________________________________________
ARRIVAL/ARRIBO
|
DATE/FECHA |
TIME/HORA |
FLIGHT No./ VUELO No. |
AIRLINE/LINEA AÉREA |
|
|
DEPARTURE/SALIDA
|
DATE/FECHA |
TIME/HORA |
FLIGHT No./ VUELO No. |
AIRLINE/LINEA AÉREA |
|
|
FAX THIS FORM TO:
GERRY NAVARRO: (954) 435-6976
Si tiene alguna
pregunta o comentario, por favor envíe su e-mail
TODO EL CONTENIDO ES
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