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Auckland Netball Centre
7 Allison Ferguson Dr, St Johns Auckland 1072

Sunday 20^th October 2024

Check in: 8.30am Events Begin: 9.30am

COST: $45 First Event, $25 Subsequent Events each

NO ENTRIES WILL BE ACCEPTED ON THE DAY
All fees are strictly non-refundable.

Spectators (payable at entry): Adults $12, Children $6, Family (2 adults & 2 children) $25 (children under 5 yrs free)

Entries CLOSE SUNDAY 29th SEPTEMBER 2024

Entry Qualifications

All NZ GKR Karate students are invited to enter the NZ National Championships.

Product Name*
Personal details:
First name*
Last name*
Age at time of competition*
Phone number*
Address line 1*
Address line 2
Address line 3
Town/City*
State (if from AUS)
Postcode*
Country*
Competitor information:
Region*
Dojo
Age group*
Gender*
Grade division*
*14 - 17 yrs Black Belts MUST enter Junior Open Division
**18 - 34 yrs Black Belts MUST enter Open Division
Tournament Division Code
Which event(s) are you entering?
- Individual Kata
- Individual Kumite
- Both Individual Kata and Individual Kumite
- Are you entering a Kata Team?
Team Kata competitor two*
First Last
Team Kata competitor three*
First Last
Team Kumite - Entry into team Kumite will be by selection only. If you are selected to compete in a team, an additional payment of $20 per competitor will be payable on the day at the event. Your Regional Manager will advise if you have been selected.
Please check the boxes below if any of these statements are true:
- Do you have any allergies? e.g. aspirin, antibiotics, foods?
- Have you been in contact with any contagious diseases in the last 3 months?
- Are you taking any form of medication at present?
If the answer is yes to any of the above questions, please give details here:
Doctor's details:
Doctors name*
Doctors phone number*
Doctors address*
Emergency Contact Details:
Contact one name*
Contact one relationship*
Contact one phone number*
Contact one alt. number*
Contact two name*
Contact two relationship*
Contact two phone number*
Contact two alt. number*
Declaration*
- By checking this box, you are agreeing to the Terms and Conditions.
Price
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