Panamerican Judo Union
Argentinean Judo Confederation

PANAMERICAN JUDO UNION
ARGENTINA JUDO CONFEDERATION
National High Performance Sports Center  (CE.N.A.R.D.)
Buenos Aires Autonomous City, Argentina
from May 23rd  to 28th  2006

XXX SENIOR PANAMERICAN CHAMPIONSHIPS MALES
XIX SENIOR PANAMERICAN CHAMPIONSHIPS FEMALES
VII JUDO PANAMERICAN CHAMPIONSHIPS TEAMS
VII KATAS PANAMERICAN CHAMPIONSHIPS
IPPON TROPHY

NUMERIC REGISTRATION

This form must be sent before april 30th, 2006

NATIONAL 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.

Pone Number: _______________________   

E-mail:________________________

Date:______________________

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Confederación Argentina de Judo (CAJ)
 

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National High Performance Sports Center  (CE.N.A.R.D.)
from May 23rd  to 28th  2006
Buenos Aires Autonomous City, Argentina

NOMINAL INSCRPTION, final.

This form must be sent before March 13th, 2006

NATIONAL FEDERATION OF: ______________________________

Cat.( M )   First Name and Last Name      Date of Birth                 Belt:                

   MALE

Category

Firs Name

Last Name

D.O.B

Belt

-55 Kg.

 

 

 

 

+55 until-60 Kg.

 

 

 

 

+60 until-66 Kg.

 

 

 

 

+66 until-73 Kg.

 

 

 

 

+73 until-81 Kg.

 

 

 

 

+81 until-90 Kg.

 

 

 

 

+90 until-100 Kg.

 

 

 

 

           +100 Kg.

 

 

 

 

Open

 

 

 

 

     FEMALE

Category

Firs Name

Last Name

D.O.B

Belt

-44 Kg.

 

 

 

 

+44 until -48 Kg.

 

 

 

 

+48 until-52 Kg.

 

 

 

 

+52 until-57 Kg.

 

 

 

 

+57 until-63 Kg.

 

 

 

 

+63 until-70 Kg.

 

 

 

 

+70 until-78 Kg.

 

 

 

 

                 + 78 Kg.

 

 

 

 

Open

 

 

 

 

 Participating in the Team Competition: ___ Yes  ___ No Male:___   Female:___

Participating in the Kata Competition: 

Female: Nage No Kata_____ Katame no Kata ____  Ju No kata___

Male: Nage No Kata_____ Katame no Kata ______ Ju No kata_____

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 :  ______________

COMISIÓN DE MEDIOS

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TODO EL CONTENIDO ES COPYRIGHT© UNIÓN PANAMERICANA DE JUDO 1998

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