2021 Exeter Virtual Training Camp

REGISTRATION

YOUR INFORMATION
Name*
First Last
Birthday*
Date Format: MM slash DD slash YYYY
Your Rank*
Style*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
SCHOOL INFORMATION
If Applicable
Name of School/Club
Instructor's Name & Rank
Style
School/Club Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Website

Andy Seatherton akseavo@yahoo.co.uk