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UNIÓN
PANAMERICANA DE JUDO |
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|
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USA Judo Inc.

Colorado
Springs, April 12th ~ 17th, 2006
¡
NUMERIC REGISTRATION¡This form must be sent before February 28th 2006
NATIONAL
JUDO FEDERATION :
__________________________________
| Participating Crew | ( ) |
||
| Not Participating Crew | ( ) |
||
| Number of competitors: | ( ) = | Male ( ) | Female ( ) |
| Number of coaches: | (
) |
||
| Number of referees: | (
) |
||
| Physicians: | (
) |
||
| Others | (
) |
||
| TOTAL: | (
) |
||
| Transportation medium: | By Air ( ) |
By Land
(
) |
Signature:______________________________
President of National Federation.
Phone:
Date:______________________
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UNIÓN
PANAMERICANA DE JUDO
USA
Judo Inc.

PANAMERICAN JUDO UNION
USA JUDO Inc.

Colorado Springs, April 12th ~ 17th, 2006
NOMINAL
INSCRIPTION , final.
This form must be sent before March 20th 2006
NATIONAL FEDERATION: ______________________________
Junior 15 and 16 years old (Born in 1990 and 1991)
| Cat.( M ) | ) First Name and Last Name | Date of Birth | Belt: |
| 51 Kg. | |||
| 55 Kg. | |||
| 60 Kg. | |||
| 66 Kg. | |||
| 73 Kg. | |||
| 81 Kg. | |||
| 90 Kg. | |||
| +90 Kg. |
| Cat.( F ) | ) First Name and Last Name | Date of Birth | 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 1989, 1988, 1987)
| Cat.( M ) | ) First Name and Last Name | Date of Birth | Belt: |
| 55 Kg. | |||
| 50 Kg. | |||
| 66 Kg. | |||
| 73 Kg. | |||
| 81 Kg. | |||
| 90 Kg. | |||
| 100 Kg. | |||
| +100 Kg. |
| Cat.( F ) | ) First Name and Last Name | Date of Birth | Belt: |
| 44 Kg. | |||
| 48 Kg. | |||
| 52 Kg. | |||
| 57 Kg. | |||
| 63 Kg. | |||
| 70 Kg. | |||
| 78 Kg. | |||
| +78 Kg. |
REFEREE:
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COACH:
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Physicians:
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DELEGATES - OFFICIALS - OTHERS (Indicar Función)
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TOTAL PARTICIPANTS IN THE TEAM:__________________________
Seal and Signature of the President of National Federation : ______________________________
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TODO EL CONTENIDO ES
COPYRIGHT© UNIÓN PANAMERICANA DE JUDO 1998
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