Seminar - Reservation - Dageki Karate

DAGEKI WORLD KARATE CHAMPIONSHIP 2024

RESERVATION – FULL CONTACT KUMITE SEMINAR

SUNDAY – MAY 19 – 9H30 – CENTRE SPORTIF PIERRE-CHARBONNEAU

Reservation – For karatekas who are not competing in the Dageki 2024:

9 to 17 years old – 10th Kyu (White Belt) to Black Belt – with parental consent
18 years old and over – 10th Kyu (White Belt) to Black Belt

Please fill out and submit the reservation form below no later than May 18, 2024.

One form per participant.
The $75CAD fee per participant is payable by credit card when making the reservation.

Prénom / First name(Required)

Nom de famille / Last name(Required)

École de karaté / Karate School(Required)

Pays de résidence / Country of residency(Required)

Adresse courriel / Email Address(Required)

Catégorie d'âge / Age Category(Required)

9 à 17 ans / 9 to 17 years old

18 ans et plus / 18 years old and over

Nom du parent si âgé de 9 à 17 ans / Name of parent if aged 9 to 17(Required)

Merci de réserver votre place pour le Séminaire de Kumite Plein Contact et de vous acquitter des frais de participation de $75CAD. Osu! Équipe Dageki 2024
Thank you for reserving your place for the Full Contact Kumite Seminar and for paying the $75CAD participation fee. Osu! Team Dageki 2024

Paiement par carte bancaire / Payment by credit card

Price:

Carte bancaire / Credit Card(Required)

Card Details

Cardholder Name

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