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The 12th Hong Kong International Wushu Competition 2017 Total Registration Form
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Team Name |
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Group |
· □Mainland □China*|*s western region
· □Hong Kong / Macao/Taiwan □Other countries |
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Country |
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State |
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Team Size |
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Captain Name |
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Parttime athlete |
□Y □N |
Gender |
□M □F |
Coach Name |
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Parttime athlete |
□Y □N |
Gender |
□M □F |
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Follow Referee |
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Gender |
□M □F |
Level |
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Duan Level |
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Size of suit |
□XXXL □XXL □XL □L □M □S |
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Contact Method |
Contact person: Address:
Email: Fax: Tel: Mobile: Code: |
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Representative detail |
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No |
Name |
Gender |
Date of Birth |
Item No. |
Taolu Name Apply |
Original
Duan Level |
Apply
Duan Level |
Phone No. (Must complete, convenient contact) |
Wushu Units |
Size of suit |
Remarks |
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Indication：
1. Every athlete has one no. as his contestant no., People come together with the athletes need to fill in the column after the athletes, and indicate the status(leaders, coaches or team follower)
2. Each item please fill one column, if apply three, then fill three column; Date of birth just fill in the year, for e.g. 1963, please don’t fill the age.
3. This form is suit for all the competitions except the International Children Wushu Competition. The athlete must fill in the event no. clearly.
Please chop and signature to confirm the athlete’s age and health with truthful information for registration. .
Chop and Signature: Date:
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