Australian National Champs 2025 – TEAM KUMITE ENTRY

Name: Australian National Champs 2025 - TEAM KUMITE ENTRY
SKU: 48331
Availability: InStock

$0.00

Westgate Indoor Sports
61 Dohertys Rd, Altona North VIC 3025

Saturday 22nd November 2025

TEAM KUMITE ENTRY
$25 PER PERSON

All fees are strictly non-refundable.

ENTRY QUALIFICATIONS
Team Kumite competitors by selection only

SPECTATORS
Pre-paid Spectator Fees available online
Adults $14, Kids $7, Family (2 adults & 2 children) $30 (Kids under 5 yrs free)

Additional Tee's*
Competitor Details:
First name*
Last name*
Age at time of competition*
Phone number*
Address line 1*
Address line 2
Address line 3
Town/City*
State*
Postcode*
Competitor information:
Region Number*
Dojo Location (suburb or city)
Age group
Sex*
Your grade*
Grade division
*Minimum age for Junior Open is 14 yrs. However, 14-15 yrs black belts may enter their age group 3rd Kyu and up division if they wish.
*16 - 17 yrs Black Belts MUST enter Junior Open Division.
*18 - 34 yrs Black Belts MUST enter Senior Open Division
Team Kata Division
Please note: All Team Kumite competitors are by selection only.
Are you entering team kumite?*
- Entering Team Kumite? (MALE OR FEMALE)
Team Kumite competitor two*
First Last
Team Kumite competitor three*
First Last
Team Kumite competitor four*
First Last
Team Kumite competitor five*
First Last
Please check the boxes below if any of these statements are true:
- Do you have any allergies? e.g. aspirin, antibiotics, foods?
- Have you been in contact with any contagious diseases in the last 3 months?
- Are you taking any form of medication at present?
If the answer is yes to any of the above questions, please give details here:
Doctor's details:
Doctors name*
Doctors phone number*
Doctors address*
Emergency Contact Details:
Contact one name*
Contact one relationship*
Contact one phone number*
Contact one alt. number
Contact two name*
Contact two relationship*
Contact two phone number*
Contact two alt. number
Please select...*
I confirm that my child will be attending the tournament with:
Parent/Guardian's Name
Declaration*
- By checking this box, you are agreeing to the Terms and Conditions.