12th Open MasterAthlete Judo Championships 2010 - Entry Application


Limit of 30 pairs for each kata
12th MasterAthlete Judo Championships

August 17 - August 22, 2010


Centre Pierre Charbonneau
3000 rue Viau,
H1V 3J3
Montreal Quebec, Canada

VISA APPLICATION FORM CLICK HERE

16 Frankfort Grove
Jackson's Point, Ontario, Canada
L0E 1L0
TEL: 001.416.580.1885 // FAX: 001.905.596.8477
The payment process used on this form is secure.
If you wish you can fax or mail in this form.


*Required Fields
*First Name:
*Family Name:
*Street Address:
*City:
*Province/State:
*Zip/Postal Code:
Country:
World MasterAthlete Judo
Assoc. Membership #:
National Fed Judo Licence #:
Expiry Date:
Sex:
Age (as of August 17th 2010):
Birthdate-Day/Month/Year:
Judo Grade:
Division/Weight Division:
[e.g.: F3, -57kg]
*Home Phone:
Work Phone:
Fax Number:
*E-Mail:
*NEW* NEWAZA COMPETITION
EVENT CAPACITY IS 1500!!! ENTRIES ARE ONLY VALID IF THEY ARE
COMPLETE AND RECEIVED BY WMAJA HEADQUARTERS ON OR BEFORE 1st August 2010
WITH THE FULL PAYMENT DUE. ALL ENTRY FEES ARE NON-REFUNDABLE.
KataFull name of ToriFull name of Uke
Nage-no-kata
Ju-no-kata
Katame-no-kata
Koshiki-no-kata
Kime-no-kata
Goshin-jitsu
Itsutsu-no-kata

All entry and membership fees are in US dollars must be made payable to 'WMAJA'
PLEASE REMEMBER - INFORMATION about the event TIMETABLE and ENTRIES will be published on the Internet on the official WMAJA website www.masterathlete.com
FINALLY - it is advisable that players have a recent medical checkup prior to competing in the tournament.

Payable in U.S. Dollars
Tournament Fee:
$100.00
Kata Fee:
$100.00
Gala Banquet:
 
WMAJA Annual membership:
$30.00
Total: 

Please make cheques or money orders payable to: World MasterAthlete Judo Association.
 
Visa:     MC:    
   
 Credit Card #
Expiry Date
Name on Credit Card
 

 

WORLD MASTERATHLETE JUDO ASSOCIATION
BANKING INFORMATION
(FYI...please do not mail entry form to this address)

Bank of America, New York, New York
For Credit to: TD Canada Trust Toronto
(TORONTO MUST BE SPECIFIED)
Account Number 6550826336

BENEFICIARY

TD CANADA TRUST
500 Highway #7 East
Richmond Hill, Ontario, Canada
TRANSIT 10852-004

PAYEE

World MasterAthlete Judo Association
1085-7315066

 

***Important***
An entry is only valid - no exceptions.

1.Official entry form must be completed and accompanied with entry fee paid in full.
2. A copy of passport.
3. A copy of current membership of a National Judo Federation that is affiliated to the International Judo Association.
4. IMPORTANT: Participants who require a letter of invitation so that they may obtain VISA travelling documents, must apply to head office by July 15th, 2010. We cannot guarantee that letters of invitation to be sent after this date.

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