England Judo Payments

Athlete Name (as written in passport)*

First Last

DOB (DD/MM/YYYY)*

Contact email address (Athlete)*

Enter Email Confirm Email

Contact email address (Parent/Carer 1)*

Enter Email Confirm Email

Contact email address (Contact/Parent/Carer 2)

Please select:*

Weight Category*

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Shirt size*

Pickup/Dropoff Location*

Hidden

Airport Preference*

Passport Number*

Passport Expiry date (DD/MM/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)*

Comments

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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