Wu Dao Kung Fu & Tai Chi Competition Registration Form

Competitor Name *
Competitor Name
Date of Birth *
Date of Birth
Competitor Phone Number
Competitor Phone Number
Gender
Age Group *
Skill Level *
*Instructors have the final say of student placement
Divisions *
Ex: You are signed up as an advanced competitor, but you will be competing in an intermediate or beginner weapons division. Please outline any exceptions to your choices in this field.
Supply contact in case of Emergency, Contact cannot be another competitor.
Emergency Contact Phone Number *
Emergency Contact Phone Number
School Phone #
School Phone #
Registration Fee *
If you are filling out this form three business days before November 19th, you qualify for early registration