UL Karate Club Intervarsities 2004 Registration Form University

							UL Karate Club Intervarsities 2004 Registration Form
University Email Address Club Captain

Team Event Competitor Name

Date Of Birth

Individual Kumite (add more as necessary) Competitor Name

Weight (kg)

Grade

Individual Kata (add more as necessary) Competitor Name Date Of Birth

Please return these as soon as possible to info@ulkarateclub.com.