England Judo Payments

Athlete Name (as written in passport)*
First Last
DOB (DD/MM/YYYY)*
DD slash MM slash YYYY
Contact email address (Athlete)*
Enter Email Confirm Email
Contact email address (Parent/Carer 1)*
Enter Email Confirm Email
Contact email address (Parent/Carer 2)
Please select:*
Weight Category*
Hidden
Shirt size*
Hidden
Pickup/Dropoff Location*
Passport Number*
Passport Expiry date (DD/MM/YYYY)*
DD slash MM slash YYYY

YOUR PASSPORT MUST HAVE THREE MONTHS ON THE EXPIRY DATE FROM THE RETURN DATE OF THE EVENT ATTENDING
Contact phone number (Athlete)*
Contact phone number (Parent/guardian)*
I acknowledge that by submitting this form, I am stating my intent to travel with ENG and will be liable for any costs that cannot be recovered due to my withdrawal.*
- I agree
Total
£ 0.00
Credit Card*
Card Details
Cardholder Name
Name
This field is for validation purposes and should be left unchanged.

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