Kata European Judo Championships

Olbia 2016 - Italy

KATA EUROPEAN JUDO CHAMPIONSHIPS

Form 1: Competitors’ Numerical Inscription

FEDERATION ______

Kata / Pair 1 / Pair 2 / h
Nage-no-Kata
Tori age 18- 34
Tori age 35 and over / Yes no
Yes no / Yes no
Yes no
Ju-no-Kata
Tori age 18- 44
Tori age 45 and over / Yes no
Yes no / Yes no
Yes no
Goshin-Jutsu
Tori age 18- 44
Tori age 45 and over / Yes no
Yes no / Yes no
Yes no
Katame-no-Kata
Tori age 18- 44
Tori age 45 and over / Yes no
Yes no / Yes no
Yes no
Kime-no-Kata
Tori age 18- 47
Tori age 48 and over / Yes no
Yes no / Yes no
Yes no
Coaches
Judges
Team Officials

This form has to be filled in and sent within 31st of March 2016 to

DATE: ______

Signature of the head of the delegation and stamp of the federation

RANDORI NO KATA EUROPEAN CUP

Form 1: Competitors’ Numerical Inscription

FEDERATION ______

Kata / Pair 1 / Pair 2 / Pair 1 / Pair 2
Nage-no-Kata / Yes no
Yes no / Yes no
Yes no / Yes no
Yes no / Yes no
Yes no
Katame-no-Kata / Yes no
Yes no / Yes no
Yes no / Yes no
Yes no / Yes no
Yes no

This form has to be filled in and sent within 31st of March 2016 to

DATE: ______

Signature of the head of the delegation and stamp of the federation

JUDO SHOW EUROPEAN CUP

Form 1: Competitors’ Numerical Inscription

FEDERATION ______

Team 1 / Team 2 / Team 3
Judo Show / Yes No / Yes No / Yes No

This form has to be filled in and sent within 31st of March 2016 to

DATE: ______

Signature of the head of the delegation and stamp of the federation

KATA EUROPEAN JUDO CHAMPIONSHIPS

Form 2: Competitors’ Nominal Inscription

FEDERATION ______

NAGE- NO- KATA

GROUP Tori from the age 18 (1998) until the age of 34 (1982)

TORI UKE

First Name Surname date of DAN First Name Surname date of DAN

birth birth

1

2

GROUP Tori from the age of 35 (1981) and over

TORI UKE

First Name Surname date of DAN First Name Surname date of DAN

1

2

KATAME-NO- KATA

GROUP Tori from the age of 18 (1998) until the age of 44 (1972)

TORI UKE

First Name Surname date of DAN First Name Surname date of DAN

birth birth

1

2

GROUP Tori from the age of 45 (1971) and over

TORI UKE

First Name Surname date of DAN First Name Surname date of DAN

birth birth

1

2

JU-NO- KATA

GROUP Tori from the age of 18 (1998) until the age of 44 (1972)

TORI UKE

First Name Surname date of DAN First Name Surname date of DAN

birth birth

1

2

GROUP Tori from the age of 45 (1971) and over

TORI UKE

First Name Surname date of DAN First Name Surname date of DAN

birth birth

1

2

This form has to be filled in and sent within 02nd of May 2016 to

NOTE: This form is only for organiser’s purposes. Unless the inscription is done in Judobase by the deadline, the inscription is not valid.

DATE: ______

Signature of the head of the delegation and stamp of the federation

KATA EUROPEAN JUDO CHAMPIONSHIPS

Form 2: Competitors’ Nominal Inscription

FEDERATION ______

KIME-NO- KATA

GROUP Tori from the age of 18 (1998) until the age of 44 (1972)

TORI UKE

First Name Surname date of DAN First Name Surname date of DAN

birth birth

1

2

GROUP Tori from the age of 45 (1971) and over

TORI UKE

First Name Surname date of DAN First Name Surname date of DAN

birth birth

1

2

KODOKAN GOSHIN-JUTSU

GROUP Tori from the age of 18 (1998) until the age of 47 (1969)

TORI UKE

First Name Surname date of DAN First Name Surname date of DAN

birth birth

1

2

GROUP Tori from the age of 48 (1968) and over

TORI UKE

First Name Surname date of DAN First Name Surname date of DAN

birth birth

1

2

This form has to be filled in and sent within 02nd of May 2016 to

NOTE: This form is only for organiser’s purposes. Unless the inscription is done in Judobase by the deadline, the inscription is not valid.

DATE: ______

Signature of the head of the delegation and stamp of the federation

RANDORI NO KATA EUROPEAN CUP

Form 2: Competitors’ Nominal Inscription

FEDERATION ______

NAGE-NO- KATA

TORI UKE

First Name Surname date of DAN First Name Surname date of GRADE

birth birth

1

2

3

4

KATAME-NO-KATA

TORI UKE

First Name Surname date of DAN First Name Surname date of GRADE

birth birth

1

2

3

4

This form has to be filled in and sent within 02nd of May 2016 to

NOTE: This form is only for organiser’s purposes. Unless the inscription is done in Judobase by the deadline, the inscription is not valid.

DATE: ______

Signature of the head of the delegation and stamp of the federation

JUDO SHOW

Form 2: Competitors’ Nominal Inscription

FEDERATION ______

TORI / UKE
Cate / First Name / Surname / DAN / First Name / Surname / DAN
Judo-Show Team 1
Judo-Show Team 2
Judo-Show Team 3

This form has to be filled in and sent within 02nd of May 2016 to

NOTE: This form is only for organiser’s purposes. Unless the inscription is done in Judobase by the deadline, the inscription is not valid.

DATE: ______

Signature of the head of the delegation and stamp of the federation

KATA EUROPEAN JUDO CHAMPIONSHIPS

Form 3: Judges’ Inscription

FEDERATION ______

The following judges will represent our federation at the above mentioned championships.

NAME: First name: Sex: ……….

Licence:

Nage-no-Kata Katame-no-Kata Kime-no-Kata Kodokan Goshin-Jutsu Ju-no-Kata

Judging also Judo Show: YES / NO

Email Address:

NAME: First name: Sex: ……….

Licence:

Nage-no-Kata Katame-no-Kata Kime-no-Kata Kodokan Goshin-Jutsu Ju-no-Kata

Judging also Judo Show: YES / NO

Email Address:

NAME: First name: Sex: ……….

Licence:

Nage-no-Kata Katame-no-Kata Kime-no-Kata Kodokan Goshin-Jutsu Ju-no-Kata

Judging also Judo Show: YES / NO

Email Address:

NAME: First name: Sex: ……….

Licence:

Nage-no-Kata Katame-no-Kata Kime-no-Kata Kodokan Goshin-Jutsu Ju-no-Kata

Judging also Judo Show: YES / NO

Email Address:

The travel and stay costs are to be paid by the National Federation.

This form has to be filled in and sent within 02nd of May 2016 to

NOTE: This form is only for organiser’s purposes. Unless the inscription is done in Judobase by the deadline, the inscription is not valid.

DATE: ______

Signature of the head of the delegation and stamp of the federation

KATA EUROPEAN JUDO CHAMPIONSHIPS

Form 4: Visa Application Form

FEDERATION ______

Our delegation needs the invitation from ______to ______

We will apply for visas at the Italian Embassy in

______

(Country, City)

Please FILL IN WITH BLOCK LETTERS and attach a COPY OF THE PASSPORT

Family Name / First Name / Date of Birth / Passport Number / Date of issue / Date of Expiry / Function

This form has to be filled in and sent within 21st of April 2016 to

DATE: ______

Signature of the head of the delegation and stamp of the federation

KATA EUROPEAN JUDO CHAMPIONSHIPS

Form 5: Media Inscription

FEDERATION ______

Surname
Name
Passport Number
AIPS Card No
Company
Address
Email
Phone
Mobile
Function (please circle) / Journalist / Photographer / Technician
If Journalist (please circle) / Television / Radio / Newspaper / Magazine / Internet
Hotel Reservation / Please use hotel reservation form
Travel Schedule / Please use travel schedule form

This form has to be filled in and sent within 02nd of May 2016 to

DATE: ______

Signature of the head of the delegation and stamp of the federation

KATA EUROPEAN JUDO CHAMPIONSHIPS

Form 6: Travel Schedule & Transfer

FEDERATION ______

ARRIVAL

o  PLANE / BOAT
Date / Time / Flight number / From / Airport/Harbour / Persons number
Car / bus
Date / Time / Persons number

DEPARTURE

o  PLANE / BOAT
Date / Time / Flight number / To / Airport/Harbour / Persons number
Car / bus
Date / Time / Persons number

This form has to be filled in and sent within 21st of April 2016 to

DATE: ______

Signature of the head of the delegation and stamp of the federation

KATA EUROPEAN JUDO CHAMPIONSHIPS

Form 7: Hotel Reservation

FEDERATION ______

Room type
(Single, double, triple) / Half board or
Full board / Arrival
date / Departure
date / Number of
people / Numbers of
nights / Total
amount

This form has to be filled in and sent within 21st of April 2016 to

DATE: ______

Signature of the head of the delegation and stamp of the federation

Please make all payment via bank transfer no later than the 21st of April 2016 after confirmation from hotel.

Payment by credit card:

The payment can be made through credit card (Visa or Mastercard) by filling the following part of the form:

The undersigned: ______authorizes Costa Eventi S.r.l. to charge

the amount in Euros of: ______,00 (______,00)

on the credit card type : ______

number: ______Expiry date:______

holder name:______

Date: ______Signature: ______

Kindly send this authorization via e-mail or by fax to the number: +39 0789 554024.