World Master Athlete Judo Association

12th MasterAthlete Judo Championships

MONTREAL QUEBEC CANADA
August 17 - August 22, 2010

 


Registration Form


Please fill in this information form below and choose your options below.
Press submit when completed.

Full Name:
 
 First  Last
Travelling Partner(s):
If applicable
Street Address:
City:
Province/State:
Postal Code/Zip:
Country:
Phone Number:
Fax Number
Email Required
Special Requests:

Registration Options
Montreal Hotel Registration
 
Hotel:
Single:
Twin:
Triple:
Quad:
In Date:
DD/MM/YY
Out Date:
DD/MM/YY
Smoking:
Yes
No
Do you wish to receive a quote on cancellation insurance (medical reasons only)? Yes
No
What contact method would you prefer? Email
Phone
Fax

Airfare Registration

Would you like an airfare quote? yes no (If yes fill in information below)
Departure City
Departure Date:
DD/MM/YY
Return Date:
DD/MM/YY

 

Rental Car Registration

Do you require a rental car? yes no (If yes fill in information below)
Choose vehicle:
Rental Date:
DD/MM/YY
   
Departure Date:
DD/MM/YY