FORMULIR PENDAFTARAN PESERTA

ADDRESS :

PHONE NUMBER / WHATSAPP :

PARTICIPANT NAME :
DATE OF BIRTH :

AGE CATEGORIES :

CLASSES ATTENDED

FESTIVAL OPEN

KATA KATA

INDIVIDUAL INDIVIDUAL

TEAM TEAM

KUMITE INDIVIDUAL KUMITE INDIVIDUAL

CLASS :.................................KG
CLASS :.................................KG

WEIGHT :.................................KG
WEIGHT :.................................KG

PHOTOCOPY OF BRITH
CERTIFICATE / DIPLOMA
MALE

FAMALE

CREATIFICATE OF HEALT

MANAGER MAGETAN, 2024

OFFICIAL PARTICIPANTS / PARENTS

MAGETI INTERNATIONAL KARATE CHAMPIONSHIP 2024