Competition Entry Form

Name

Address

Sex

Male

Female

Email

Phone

Instructor

Club

Club Name

Grade

Specify exactly what grade

Weight

In Kg

Date Of Birth

Event

Sparring £25

Poomsae £25

Both £35

Electoronic LEDA will be socks available to use in each round at £8 per person for the whole event. KPNP socks will work with this system if you have your own. LEDA Socks may be on sale at the event

Sock Option

Hire socks £8 for whole event

Own socks

Signature: Under 18 requires parental signature

Clear

The event has Public Liability cover but please ensure that you have valid personal accident cover. We can provide this for a cost of £8 per person

Personal Accident Insurance

Own Insurance

Require Insurance £8

Please enter the total amount you are paying

Payment by bank transfer to Bristol Taekwondo 77-73-07 36031668

Use your name as reference