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US OPEN REGISTRATION FOR ITFNZ MEMBERS
This form is for all ITFNZ to apply for clearance to compete in the US OPEN. Please make sure all those you are traveling with register as well.
PERSONAL DETAILS
Full name
Address
Club
Email address:
Passport Number:
Age at tournament date:
Current Rank:
I am a part of a club / group that are planning to go.		No - just me
		Yes (What is the name of your group)
		Please give names and email addresses of anyone in your group that is wishing to travel but not compete. Please indicate if they are ITFNZ members or not.


COMPETITION
*Please tick:*		*Are you planning to compete in:*
		Individual Patterns
		Individual Sparring

TRAVEL & ACCOMMODATION
		*Are you planning to:*
		Travel with the team, please help make these bookings
		Make my own travel arrangements


*Any other information:*
Terms and conditions:	I have read and agreed to the >>Code of Conduct<< 2. Stay with the Kiwi Team in the designated hotel in Orlando for the duration of the tournament. 3. Come under the guidance of the Management & Coaching Staff once at the tournament. 4. I am 18 years of age or will be accompanied by a parent / guardian

	Click here to say you agree to the conditions above and submit your application. If under 18 years old my Parent of Guardian has submitted this form.


	INTERNATIONAL 2010 Asian Champs 2010 Oceanias 2009 US Open 2008 World Cup 2008 Oceanias 2006 World Cup 2006 Oceanias 2004 World Cup 2004 Oceanais 2004 Gen. Choi Cup 2003 ITAO 2003 Gen. Choi Cup 2002 Oceanias 2001 Aussie Invitational 1998 Junior Team in Texas

REGISTERED:

Shane Black
Ross Black
Umakaihau Goodyer
Corey Hunter
Amy Reeder
Matthew Davey



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