AUniversal Combat Club@ October 16, 2005
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(Open Tournament)
Location: 184 Willow Pointe PL. Manalapan, New Jersey 07726
Tournament: Sport Sambo / Demo Sambo
Contact info: James White (Duma) (732)252-8103
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Full Name:____________________________________________________
Age:____Weight:______Hieght:_____E-mail_________________
Member Since_____________Rank Assignment______________
Address:_____________________________________________________
City:________________________________________________________
Telephone #:____________________Emergency #:__________________
Club Name: ________________________________________________
Coach=s Name:________________________________________________
Club Address:________________________________________________
_____________________________________________________________
Club E-mail__________________________________________________
Registration and Weigh-In:
Ages 5 through 12 - From 12:00 to 12:15 am
Ages 13-16 - From 12:15 to 12:30pm
Date of Event B Sunday October 16, 2005
1. Fee for event - $45.00 (member of AASF $35)
2. Equipment B Sambo Uniform
3. Number of participants is limited. Places will be filled in the order of
applications are received.
4. For info call: (732) 252-8103 James White (Duma)
Send registration applications to: 9 Madison ct. Manalapan NJ 07726
Or e-Mail to: njsambofederation@yahoo.com
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