CTND Pushhands Open - Application form

Please use the application form below to register for one or more competitions. You can also download the forms and print them out here (in German only): Application form as a pdf-file. Please send it to the following address:

Chen-Stil Taijiquan Netzwerk Deutschland (CTND)
Stöckachstraße 7
70190 Stuttgart
Germany

Note: Please take notice of the registration deadlines!
If you have any queries please do not hesitate to send us an email via the contact form here.

Application form
Here you can register online: All fields marked with a star (*) have to be included.
Please do include your email address by all means as you will get a confirmation message in a couple of days and might need to be contacted for organisational purposes.

Please give your full name*: Your email address*: Your date of birth*: Sex*:

female male

Telephone: Here you can include more information on yourself (e.g. association, school, style etc.):

I want to start in Stuttgart on the 28th of January 2012

I want to start in Hanover on the 25th to 27th of May 2012

I want to start in Berlin on the 3rd of November 2012

Weight*:
Your weight should be roughly the same at the competition. Please notify us beforehand if this is not the case.
I would like to register for the following disciplines*: The starting fee should be transferred one week before the respective tournament takes place. CTND-members get a 5,00 EUR discount. When applying for more than one weight category please leave a respective message in the 'more information' field above. Every additional participation in another pushhands discipline in another weight category will add 10,00 EUR to the starting fee.

I would like to reserve a CTND Pushhands Open T-Shirt for 20,99 EUR for pickup (i.e. not including shipment). T-Shirt size should be given here:
Letter of agreement*:
I have read the terms and conditions of the CTND Pushhands Open competions and accept them. I herewith declare that I am fit, qualified, able and free of contagious diseases. I want to participate at the CTND Pushhands Open and act at my own risk. I agree to have photos and videos taken from my matches. These can be published afterwards. Also I agree to revocably receive emails concerning the CTND Pushhands Open.
Here you can declare to accept our terms and conditions:

I accept the terms and conditions of the competion announcement No