Brookings TaeKwonDo Open Championship

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Participants Name: *

First Name

Last Name

Generational

Age: *

Height: *

Feet

ft

Inches

in

Weight: * LBS

Gender: *

Male

Female

Email *

Address: *

Country *

Address 1 *

Address 2

City *

State *

ZIP code *

Phone #: *

Phone #:, part 1

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Phone #:, part 2

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Phone #:, part 3

Parents Name: *

Parents Phone #: *

Parents Phone #:, part 1

-

Parents Phone #:, part 2

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Parents Phone #:, part 3