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PANAMERICAN JUDO UNION |
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XXV PANAMERICAN SENIORS JUDO CHAMPIONSHIPS MALE
XIV PANAMERICAN SENIORS JUDO CHAMPIONSHIPS FEMALE
II PANAMERICAN SENIORS JUDO CHAMPIONSHIPS BY TEAM
II PANAMERICAN SENIORS JUDO KATA
IPPON TROPHY
II
PANAMERICAN JUNIOR PAINTING CONTEST
SANTO DOMINGO, DOMINICAN REPUBLIC, November 04
to 11, 2002
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ENTRY FORM
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PANAMERICAN JUDO UNION |
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PANAMERICAN SENIORS CHAMPIONSHIPS
SANTO DOMINGO, DOMINICAN REPUBLIC, November 04 to 11, 2002
NUMERIC
REGISTRATION
This form must be sent before October 1st 2002.
NATIONAL FEDERATION OF: ............................................................................
Participates ( )
Does not
Participate ( )
Number of Competitors: ( ) = Male ( ) Female ( )
Number of comp. in Katas ( ) Only Male
Number of Coaches ( )
Number of Referees ( )
Doctors: ( )
Others: ( )
TOTAL: ( )
Transportation: By Air ( ) By Earth ( )
Signature:
President of National Federation.
Phone Number:
Date:.............................................
Total of People __________
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PANAMERICAN JUDO UNION |
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PANAMERICAN SENIORS CHAMPIONSHIPS
SANTO DOMINGO, DOMINICAN REPUBLIC, November 04 to 11, 2002
NOMINAL
REGISTRATION, Final.
This form must be sent before October 20th 2002
NATIONAL FEDERATION OF : ..........................................................................
(SHIAI)
| Men: | |||
| Number | Category | Full Name | Date of Birth |
| 1 | -55 Kg. |
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| 2 | -60 Kg. |
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| 3 | -66 Kg. |
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| 4 | -73 Kg. |
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| 5 | -81 Kg. |
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| 6 | -90 Kg. |
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| 7 | -100 Kg. |
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| 8 | +100 Kg. |
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| 9 | OPEN |
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| Women: | |||
| Number | Category | Full Name | Date of Birth |
| 1 | -44 Kg. |
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| 2 | -48 Kg. |
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| 3 | -52 Kg. |
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| 4 | -57 Kg. |
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| 5 | -63 Kg. |
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| 6 | -70 Kg. |
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| 7 | -78 Kg. |
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| 8 | +78 Kg. |
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| 9 | OPEN |
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(KATAS)
| Men: |
| Number |
Kata |
Full Name of the Couple | Date of Birth |
| 1(UKE) |
Nage No Kata |
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| 2(TORI) |
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| 1(UKE) |
Katame No Kata |
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| 2(TORI) |
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| 1(UKE) |
Ju No Kata |
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| 2(TORI) |
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| Women: |
| Number |
Kata |
Full Name of the Couple | Date of Birth |
| 1(UKE) |
Nage No Kata |
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| 2(TORI) |
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| 1(UKE) |
Katame No Kata |
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| 2(TORI) |
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| 1(UKE) |
Ju No Kata |
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| 2(TORI) |
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(TEAMS)
| Men |
| Number | Category | Full Name | Date of Birth |
| 1 | -66 Kg. |
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| 2 | -81 Kg. |
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| 3 | -90 Kg. |
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| 4 | -100 Kg. |
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| 5 | OPEN |
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| Women: | |||
| Number | Category | Full Name | Date of Birth |
| 1 | -52 Kg. |
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| 2 | -63 Kg. |
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| 3 | -70 Kg. |
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| 4 | -78 Kg. |
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| 5 | OPEN |
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REFEREES: (please write his/her classification)
________________________________________
________________________________________
________________________________________
________________________________________
COACHES
________________________________________
________________________________________
________________________________________
________________________________________
Doctors:
_________________________________________
Delegates:
_________________________________________
_________________________________________
Others: (Please write his/her function)
_________________________________________
_________________________________________
_________________________________________
TOTAL MEMBERS OF THE DELEGATION:
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PANAMERICAN JUDO UNION |
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PANAMERICAN JUDO SENIOR CHAMPIONSHIPS
SANTO DOMINGO, DOMINICAN REPUBLIC, November 04 to 11, 2002
ARRIVAL AND
DEPARTURE INFORMATION
Arrival: Airline: __________________________
Flight Number:
__________________________
Time of Arrival:
__________________________
Date of Arrival:
__________________________
Departure: Airline: __________________________
Flight Number:
__________________________
Time of Departure:
__________________________
Date of Departure:
__________________________
Signature
President of National Federation
Official Seal
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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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