Wushu Collegiates 2009 Registration


All registration is now considered late registration!

Registration is $35 USD per competitor, which includes one event. Each additional event costs an addition $5. Please send checks only, payable to the Georgia Tech Wushu Club:

Georgia Tech Wushu Club
c/o CRC
750 Ferst Drive
Atlanta, GA 30332-0110

Nandu competitors may include their nandu forms with their checks, or attached in an e-mail to GTWushu@gmail.com (preferred). Registration ends February 21st. Late registration is $45 USD instead of $35.
All competitors must submit a proof of enrollment along with their registation!!

Competitors may include their Proof of Enrollment along with their checks, or attached in an e-mail to GTWushu@gmail.com (preferred .pdf, .jpg or other image files, or .doc but not .docx).

2009 Collegiates Registration Form
*Competitor Last Name:
*Competitor First Name:
*Birthdate (mm/dd/yy):   
*Gender:  
*University:
Instructor:
(and wushu school if different from college or university)
*E-Mail:
Phone:
*Level:
Competitor Class:
Competing for All-Around?
*Address 1:
Address 2:
*City:
*State/Province:
*Zip/Postal code:
Country (if not USA):
Emergency Contact Info
*Full Name:
*Phone Number:
*Relation:
Event Information
Contemporary Events:  
Nandu (Advanced Only)  
 
 
 
style:
style:
Internal Events:  
style:
style:
Traditional Events:
style:
style:
Other Events:
Team Name:
Contact Name:
Contact E-Mail:
Sparring Set Name:
Sparring Set Members:
Contact E-Mail:
* denotes required field

Georgia Tech Wushu, 2009