Sunday, November 29, 2009

Rollapalooza 4 - Early Registration

To avail of the early registration discount for ROLLAPALOOZA 4, simply fill in the form below and hand it in along with your payment at the Ateneo Judo Dojo, 2/F Blue Eagle Gym, Ateneo de Manila University on Monday (November 30, 10AM-12PM), Tuesday (December 1, 4PM-9PM) or Wednesday (December 2, 4PM-9PM) this week. For any further inquiries, please send us an e-mail at info@rollapalooza.tv and place "Rollapalooza Inquiry" as title.

SCHOOL INFORMATION
Academy Name
Instructor's Name
Address
Phone

COMPETITOR INFORMATION
Last Name
First Name
Date of Birth
Age
Address
Phone
Gender
E-mail
Nationality
Height
Actual Weight

REGISTRATION INFORMATION
Weight Division
Belt/Skill Category

EMERGENCY INFORMATION
Name
Phone

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2 comments:

Anonymous said...

I noticed a "Nationality" label in the form. Are foreigners allowed to compete?

rollapalooza said...

Yes, they are allowed