First Name

Last Name

Date of Birth

Gender MaleFemale

Phone Number

Your email

Select Participating Event KyorugiPoomsaePara-Taekwondo

Kyorugi Weight Class
Fin WeightFly WeightBantam WeightFeather WeightLight WeightWelter WeightMiddle WeightHeavy Weight

Poomsae Participation YesNo

Category N/AIndividual PoomsaePair PoomsaeTeam Poomsae

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For Para-Taekwondo Only

Select Para-Weight Class N/AK44

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Team Name

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

Coach Name

Coach Number