July 31 Interclub- Children

Please fill out the survey once for each child participating. Thanks!

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* 1. Please enter your child's name:

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* 2. Is your child male or female?

Male

Female

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* 3. Please choose the weight category that your child falls into WITH A GI AND BELT ON.

<15 kg

15-19kg

19.1kg- 23 kg

23.1kg-27kg

27.1kg-30kg

30.1kg-33kg

If your child is over 33 kg, please enter their weight in this box:

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* 4. What belt is your child?

White

Gray (gray + white, gray, gray + black)

Yellow

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* 5. How old is your child?