PHOENIX WUSHU NATIONALS REGISTRATION

COMPETITOR INFORMATION

Name

If Under 18, Full Name of Legal Guardian

Email

Gender

Birthday

Address

City

State / Province

Postal / Zip Code

Country

Experience Level

First Timer

Weight (kg)

T-Shirt Size

First 100 Special - Select Your T-shirt Size


SCHOOL INFORMATION

Name of Martial Arts School

If not applicable, please type none

Name of Instructor

If not applicable, please type none

Name of Team

Only required if you are participating in the Lion Dance Event.

School Email

School Phone#

Address

City

State / Province

Postal / Zip Code

Country

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