Registration Form

Registration Form - Universal Challenge 2010 Open Tae Kwon...

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Universal Challenge 2010 Open Tae Kwon Do/ Martial Art Championship Saturday, October 23 rd , 2010 @ Dutchtown High School (AIR CONDITIONED GYMNASIUM) 149 Mitchell Road Hampton, Georgia 30228 Breaking Demonstration by Team UMA-CHAI Traditional Forms Olympic Style Sparring. Synchronized Forms Division. Board Breaking(Creative) Dedicated to the brave men and women of the Armed Forces of the USA! Thank You for Our Freedom! For more information please call UMAA 770-507-8878 or © 770-833-0170 Or e-mail us @ [email protected]
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Visit our Website: uma-musado.com
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Hosted By: The Universal Martial Arts MuSaDo Association Tournament Coordinator: Master Terry Millwood Referee Chairperson: Master Terry Wassink Medical Staff: Dr. Ronald Ito, RNs: Rubi Irvin Nogal, Jessica Rholyn Nogal, Francis Cantilang & Jean Cantilang Honored Dedication to UMA Members Serving Our Country PFC Mitt-Chai Lenix, PFC Jonathan Tremblay, Rhingo GOSU Martial Arts Supply www.gosuworld.com
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UNIVERSAL CHALLENGE 2010 OPEN TAE KWON DO / MARTIAL ARTS CHAMPIONSHIP Competitor Entry Form Please print all information: Last Name: _______________________________ First Name: ________________________________ Address: _______________________ City: ____________________ State: _____ Zip Code: _________ Home Phone: ____________ Work Phone: ___________ Fax #: ___________ e-mail: _______________ Date of Birth: ____________ Age: _____Belt Color: _______Geup Rank_______Weight: ________lbs. Circle one : Male Female Events entered: ___TKD Forms ___Sparring ___Creative/Extreme Forms ___ Board Breaking (Creative) ___Creative/Extreme Weapons ___ Synchronized Form ( Name of partner(s)__________________________________)
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This note was uploaded on 09/14/2011 for the course ECON 102 taught by Professor Calvin during the Spring '11 term at Oxford Brookes.

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Registration Form - Universal Challenge 2010 Open Tae Kwon...

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