Fighter Application 1
 Home About Montreal Shihan Roman Szyrajew Invitation Spectator Information Canadian Visa Divisions Directions Fighter Application 1 Fighters Information Rules & Regulations Accommodations Results Pictures 1999 Pictures 2000 Video

horizontal rule

Fighter Application 2

Please print the following application form.  You will need to have Microsoft Word installed on your computer in order to view and print.  If for some reason you are having problems opening the file, please print this webpage.

Click here to download the fighters application

horizontal rule

PLACE PICTURES HERE
FIGHTER APPLICATION
DATE: March 13, 2004
ELIMINATION'S: 10:00 AM.      FINALS: 6:00 PM.
PRE-REGISTRATION DEADLINE: FEBRUARY 01, 2004
ALL ENTRY FEES ARE NOT REFUNDABLE
MAIL MONEY ORDER TO:  
MAS OYAMA'S MEMORIAL GOLD CUP
3677 Boul. St. Jean
Dollard-des-Ormeaux, Quebec 
Canada
H9G 1X2

NO CHECKS WILL BE ACCEPTED

 
  
COMPETITION FEE:
 
$60.00 (Adult Division)
$30.00 (Junior Division)
$30.00 (Senior Division)
ALONG WITH 2 PICTURE
 
__________________________________________________________________
PLEASE MARK AN "X" IN APPROPRIATE DIVISION:

ADULT CATEGORY

JUNIOR CATEGORY

 SENIOR CATEGORY

MEN'S:
____LIGHT WEIGHT 160 LBS. & UNDER
____LIGHT WEIGHT 150 LBS. & UNDER
___OPEN WEIGHT

____MIDDLE WEIGHT 161 - 179 LBS.
____HEAVY WEIGHT 151 LBS. & OVER

____HEAVY WEIGHT 180 LBS. & OVER

WOMEN'S:
____LIGHT WEIGHT 144 LBS. & UNDER
____LIGHT WEIGHT 144 LBS. & UNDER
___OPEN WEIGHT
____HEAVY WEIGHT 145 LBS. & OVER ____HEAVY WEIGHT 145 LBS. & OVER 
_________________________________________________________________
SEX:	_____MALE     _____FEMALE	  AGE:_____________  
NAME:____________________________________________________________  
ADDRESS:_________________________________________________________  
TEL:__(____)___________________	DATE OF BIRTH:___________________  
WEIGHT:____________	HEIGHT:____________	RANK:____________  
STYLE:____________________	INSTRUCTOR:______________________  
Dojo:___________________	Dojo TEL:(____)__________________ 
TOURNAMENT EXPERIENCE  
YEAR		TOURNAMENT NAME				RESULT  
_________________________________________________________________  
_________________________________________________________________  
_________________________________________________________________ 
***FEEL FREE TO FAX US YOUR APPLICATION AT (514)253-6766***
OR EMAIL TO: shihanroman@videotron.ca

horizontal rule

Back to Winnipeg Kyokushin Karate