|
FEDERACIÓN PUERTORRIQUEÑA DE JUDO |
|
|
|
NUMERIC REGISTRATION FORM
Send this form before February 09, 2004
NATIONAL FEDERATION FROM:
__________________________________
| Participating Crew | ( ) |
||
| No Participating Crew | ( ) |
||
| Number of Competitors: | ( ) = | Male ( ) | Female ( ) |
| Number of Coaches: | (
) |
||
| Number of Referees: | (
) |
||
| Physicians: | (
) |
||
| Others: | (
) |
||
| TOTAL: | (
) |
||
| Transportation Medium: | By Air ( ) |
By
Earth
(
) |
Signature:______________________________
Stick:
President of the National Federation
Pone number:
Date:______________________
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|
FEDERACIÓN PUERTORRIQUEÑA DE JUDO |
|
PANAMERICAN
JUVENILE AND JUNIOR CHAMPIONSHIPS
Carolina, Puerto Rico
March 24th - 31th, 2004
NOMINAL AND FINAL REGISTRATION FORM.
Send this form before February 16, 2004
NATIONAL FEDERATION FROM:
______________________________
Junior 15 and 16 years old (Born in 1988 and 1989)
Cat.(
M ) First
Name and Last Name
Birth Date
Belt:
-51
kg __________________________
________________
-55
kg __________________________ ________________
-60
kg __________________________
________________
-66
kg __________________________
________________
-73
kg __________________________
________________
-81
kg __________________________
________________
-90
kg __________________________
________________
+90
kg __________________________
________________
Cat.(
F ) First
Name and Last Name
Birth Date
Belt:
-40
kg __________________________
________________
-44
kg __________________________
________________
-48 kg __________________________
________________
-52
kg __________________________
________________
-57
kg __________________________
________________
-63
kg __________________________
________________
-70
kg __________________________
________________
+
70 kg __________________________
________________
Juvenile 17 to 19 years old, (Born in 1985, 1986, 1987)
Cat.(
M ) First
Name and Last Name
Birth Date
Belt:
-55
kg __________________________
________________
-60
kg __________________________ ________________
-66
kg __________________________
________________
-73
kg __________________________
________________
-81
kg __________________________
________________
-90
kg __________________________
________________
-100
kg __________________________
________________
+100
kg __________________________
________________
Cat.(
F ) First
Name and Last Name
Birth Date
Belt:
-44
kg __________________________
________________
-48
kg __________________________
________________
-52
kg __________________________
________________
-57
kg __________________________
________________
-63
kg __________________________
________________
-70
kg __________________________
________________
-78
kg __________________________
________________
+
78 kg __________________________
________________
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REFEREES: (Show Classification)
-------------------------------------------------
-------------------------------------------------
-------------------------------------------------
-------------------------------------------------
Coaches:
-------------------------------------------------
-------------------------------------------------
-------------------------------------------------
Physician:
-------------------------------------------------
Delegates - Officials – Others ( Specify Function or Role)
-------------------------------------------------
-------------------------------------------------
-------------------------------------------------
-------------------------------------------------
TOTAL PARTICIPANTS IN THE TEAM:__________________________
Seal and Signature of the President of National Federation : _____________________ Stick
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pregunta o comentario, por favor envíe su e-mail
TODO EL CONTENIDO ES
COPYRIGHT© UNIÓN PANAMERICANA DE JUDO 1998
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