First Name

Last Name

Date of Birth

Gender MaleFemale

Phone Number

Your email

Select Participating Event KyorugiPoomsae

Male Kyorugi Weight ClassUnder 54kgUnder 58kgUnder 63kgUnder 68kgUnder 74kgUnder 80kgUnder 87kgOver 87kg

Female Kyorugi Weight ClassUnder 46kgUnder 49kgUnder 53kgUnder 57kgUnder 62kgUnder 67kgUnder 73kgOver 73kg

Poomsae Participation YesNo

Category Individual PoomsaePair PoomsaeCreative Poomsae

Coach Name

Coach Telephone Number

Team Name

Team Location
—Please choose an option—Abuja FCTAnambraEnuguAkwa IbomAdamawaAbiaBauchiBayelsaBenueBornoCross RiverDeltaEbonyiEdoEkitiGombeImoJigawaKadunaKanoKatsinaKebbiKogiKwaraLagosNasarawaNigerOgunOndoOsunOyoPlateauRiversSokotoTarabaYobeZamfara