Red Belt Rumble Entry Form – Carmarthen Judo Club

You can enter using our online entry or

you can print the paper entry form below

To Enter online please complete the following form:

Last Name*

First Name*

Street Address1*

Street Address2

Town

County

Postcode*

Email*

Contact Number*

Male/Female*

Grade*

Date of Birth*

Exact Weight (kg)*

Club*

WJA/BJA Membership No*

Membership Expiry Date*

By Clicking send you are agreeing to the following:

1. I am an amateur within the rules of the WJA/BJA and I confirm that I do and will comply with the articles of Association and Byelaws of the Association.

2. I, the undersigned, wish to participate in the above competition to be held at Carmarthen Leisure Centre on the above date and confirm the details given by me are correct.

3. I understand and agree that neither the organisers of the event nor the WJA/BJA (nor any of its officials or members) shall be liable or responsible for any personal injury to me, nor any loss or damage to my property arising out of my participation and travelling in connection with these championships.

4. I am totally responsible for my own state of health, and I am fit and able to participate in this competition.

5. I understand that there may be drug testing at this event and my entry is only accepted on the condition that if selected for such a drug test, I shall comply with the WJA/BJA rules regarding the same.

6. By entering this competition & signing the consent you are agreeing to photography and video filming being taken.

Entry Fee*

Entry Fee of £15 per player (non-returnable) Payment - Please select one of the follow options;

1. Cheque/Postal Order -Should be sent to:

Louise Beard, 9 Heol Salem, Johnstown, Carmarthen, Carmarthenshire, SA31 3HT

Cheques /Postal Orders should be crossed and made payable to Carmarthen Judo Club.

2. Online Bacs Transfer - An email will be sent to you with the bank details for transfer of the entry fee.

No later than Tuesday 2nd May 2023 This date will be strictly enforced – Maximum Entry 75 Acknowledgement of entry will be sent when the entry form and payment have both been received. Please ensure you provide a mobile telephone number or email address.

Red Belt Rumble