BJC North East Area Presidents Course
Individual Registration
Non-BJC member
First name
Surname
Affiliation
GB/BJA
GB/AJA
Licence number
Club
Grade
6th Kyu: No Tabs Beginner
6th Kyu: 1 Red
6th Kyu: 2 Red
6th Kyu: 3 Red / 1st Mon
6th Kyu: 1 Orange
6th Kyu: 2 Orange
6th Kyu: 3 Orange / 2nd Mon
6th Kyu: 1 Green
6th Kyu: 2 Green
6th Kyu: 3 Green / 3rd Mon
6th Kyu: 1 Blue
6th Kyu: 2 Blue
6th Kyu: 3 Blue / 4th Mon
6th Kyu: 1 Brown
6th Kyu: 2 Brown / 5th Mon
6th Kyu: 3 Brown / 6th Mon
6th Kyu: No Tabs Beginner
6th Kyu: 1 Yellow / 1st Mon
6th Kyu: 2 Yellow / 2nd Mon
6th Kyu: 3 Yellow / 3rd Mon
5th Kyu: No Tabs / 4th Mon
5th Kyu: 1 Orange / 5th Mon
5th Kyu: 2 Orange
5th Kyu: 3 Orange / 6th Mon
4th Kyu: No Tabs / 7th Mon
4th Kyu: 1 Green / 8th Mon
4th Kyu: 2 Green
4th Kyu: 3 Green / 9th Mon
3rd Kyu: No Tabs / 10th Mon
3rd Kyu: 1 Blue / 11th Mon
3rd Kyu: 2 Blue / 12th Mon
3rd Kyu: 3 Blue
3rd Kyu: 1 Brown / 13th Mon
3rd Kyu: 2 Brown / 14th Mon
3rd Kyu: 3 Brown / 15th Mon
3rd Kyu: 1 Black / 16th Mon
3rd Kyu: 2 Black / 17th Mon
3rd Kyu: 3 Black / 18th Mon
6th Kyu: No Tabs Beginner
6th Kyu: 1 Red
6th Kyu: 2 Red
6th Kyu: 3 Red
5th Kyu: No Tabs
5th Kyu: 1 Red
5th Kyu: 2 Red
5th Kyu: 3 Red
4th Kyu: No Tabs
4th Kyu: 1 Red
4th Kyu: 2 Red
4th Kyu: 3 Red
3rd Kyu
2nd Kyu
1st Kyu
1st Dan
2nd Dan
3rd Dan
4th Dan
5th Dan
6th Dan
7th Dan
8th Dan
Date of birth
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
January
February
March
April
May
June
July
August
September
October
November
December
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
Gender
Male
Female
Weight
kg
Email address
Telephone
Address 1
Address 2
Town/City
Postcode
