Regional Schools competition - Individual Registration

Email *

This is how we will contact you about your entry if we need to.

First Name *

Last Name *

Date of Birth (dd/mm/yyyy) *

BJA Licence *

For competition this can be a BJA or affiliate licence (eg BJC).

For dan gradings, you must have a full BJA licence.

Area

Club

Grade *

If dan grade - select your highest competitive grade.

Category *

Weight group *

Amount

£

Discount Amount

£

Gross amount

£

Payment Method

Paypal

Credit Card Number*

Expiration Date*

/

Card (CVV) Code*

Card Holder Name*

Privacy Policy *

By register to this event and agreeing to the Privacy Policy you agree to this web site storing your information.

Terms and Conditions *

By registering for this event, I accept Terms and Conditions

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