Randori Sunday Scrum Booking Form

Next Date: Thursday 5th February

Thank you for your interest in our Randori Session!

It is £10 payable by bank transfer or cash on the day. Or as per normal fees for Kitsune-Gari members.
Name: Kitsune Gari Judo Club
Sort code: 608371
Account number: 91156839
Reference: Randori+(your name)

Address: Long Meadow School, Garthwaite Crescent, Shenley Brook End, Milton Keynes MK5 7XX

If you need any further information, please contact us before completing this form.

Please ensure that if you are unable to attend you let us know as soon as possible so that your space can go to others.

Thank you, and see you soon

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* 1. Name

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* 2. Date of birth

(you must be 16+ to fight with the seniors)

Date

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* 3. Phone Number

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* 4. Email Address

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* 5. Organisation and Current Club

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* 6. Licence Number (you must bring your licence on the day. Photos will not be accepted)

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* 7. Expiry Date

Date

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* 8. Where did you hear about the session?

Facebook

Poster

Other (please specify who or where)

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* 9. Payment Choice

£10 cash on the day (please bring correct cash)

£10 bank transfer (ensure already paid when you have selected this option, we will then confirm via email)

Members space