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UNIÓN PANAMERICANA DE JUDO |
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DOMINICA
N REPUBLIC JUDO FEDERATION
Santo Domingo, June 28th to 21th, 2009
XXXIII SENIOR PANAMERICAN CHAMPIONSHIPS MALES
XXII SENIOR PANAMERICAN CHAMPIONSHIPS
FEMALES
X JUDO PANAMERICAN CHAMPIONSHIPS TEAMS
X KATAS PANAMERICAN CHAMPIONSHIPS
IPPON TROPHY
(Female and Male )
FINAL ENTRY
This has to be sent before June 01st, 2009
NATIONAL FEDERATION: _____________________________________
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Cat.( M ) |
Name and last name |
Date of Birth |
Grade-Belt: |
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55 Kg. |
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60 Kg. |
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66 Kg. |
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73 Kg. |
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81 Kg. |
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90 Kg. |
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100 Kg. |
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+100 Kg. |
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Cat.( F ) |
Name and last name |
Date of Birth |
Grade - Belt: |
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44 Kg. |
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48 Kg. |
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52 Kg. |
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57 Kg. |
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63 Kg. |
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70 Kg. |
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78 Kg. |
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+78 Kg. |
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REFEREES: (Grad
e ): Coaches:____________________
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___________________________ ___________________________
Doctors:
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Delegates - Accompanies - Officials (Name Functions)
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TOTAL MEMBERS OF DELEGATION:_________________________
National Federation Presidentfs signatura and seal: ______________________________
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Ing. Jaime Casanova M. President |
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Serge A. Piquette General Secretary |
