Registration Form 2012

Registration Form

Martial arts School

( Optional)

Male      □

 

Female   □

First Name:

 

Surname:

Age under12:       □

 

Age 12+–18:        □

 

Age 18+:               □

Give your email if you email has changed or your email is not on our mailing list:

 

Telephone:
Address  (Please give the name of the city and the country you come from) :

 

 

 

Please Tick Your Preferred Categories.   The 2005 IWUF ruleset will be used for judging this competition and  No difficulty (nandu) required.  A competitor can enter up to 3 categories in Wushu and up to 2 categories in Taiji; £12 for each category, £8 for the under 12. The closing date for the registration is 20th May.

 

 Contemporary Fists Changquan

(Long boxing)

Nanquan

(Southern Fist)

Contemporary Weapon Short Weapon Long Weapon

 

Traditional Fists Shaolin style , specify

 

Other, specify:
Traditional Weapon Shaolin style, specify

:

 Other weapon, specify
Tai Ji Quan Compulsory , specify

:

Freestyle  specify
Tai Ji Weapon Compulsory , specify

:

Freestyle  specify
If any explanation,  please give your notes here:

 

 

 

 
 

By signing your name here, you agree that you are responsible to obtain suitable insurance to cover your participation in the competition.

 

 

Signature:____________________________                        Date:____________________________

 

For all Junior competitors under 12 years, Parent or a suitable Guardian signature is required.

 

 

Parent or guarantor signature:___________________         Date:____________________________

 

 

 

  1. By post: send to Liu Li, 69 Holly Lodge Mansions; Camden, London N6 6DS; the cheque payable to MsL Company;
  1. By email, send to championship@ms-l.co.uk  and bank transfer your payment to MsL Company, MsL Company, Sort Code:404039; Account number 31631152; Do not forget to give your name as reference.