43TH QUALIFYING INTERNATIONAL UMPIRE COURSE

Competitors Information

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * Cell Phone:
• *

  RANK

  • RED BELT
  • BLACK BELT I DAN
  • BLACK BELT II DAN
  • BLACK BELT III DAN
  • BLACK BELT IV DAN
  • BLACK BELT V DAN
  • BLACK BELT VI DAN
  • BLACK BELT VII DAN
  • BLACK BELT VIII DAN
  • BLACK BELT IX DAN
• ITF DEGREE NUMBER
• ITF PLAQUE NUMBER

• Fee

  Type	Fee
  Red belt to Black Belt 3rd degree	$230.00
  Black Belt 4th degree to 6th degree	$320.00
  Black belt 7th degree to 8th degree	$180.00
  Black Belt 9th degree	No Charge

• * DATE OF BIRTH

DO-JANG INFORMATION

• * SCHOOL NAME
• * COUNTRY
• *

  I HEREBY SUBMIT MY APPLICATION TO REGISTER IN THE 43th QUALIFYING INTERNATIONAL UMPIRE COURSE. I ACKNOLEDGE AND AUTHORIZE THAT ANY MEDIA PUBLISHED FROM THIS EVENT WILL BE DONE WITH NO ECONOMICAL RETRIBUTION.

  • YES