Application Form for Open Category

Home > Information for Open Category > Application Form for Open Category

Application Form for Open Category


Japan Pole Sports Association (JPSA)


  ※ Who are applicants Open Category, Please apply from the following application form.
  ※ * Items marked is required fields.

■Division

*Division  Elite Senior Men +18 to 39
 Elite Senior Women +18 to 39
 Elite Doubles +10
 Elite Junior +15 to 17
 Elite Novice +10 to 14
 Elite Master Men +40
 Elite Master Women +40
 Elite Master Men +50
 Elite Master Women +50
* Rehearsal date 1st choice of date:
2nd choice of date:
3rd choice of date:

※ Please understand that depending on your choice of date, it would not be avaialbe time.

■Applicant 1
※Please enter those who are entry single division here.
※Please enter the appliciacnt 1 of the doubles division here.
※Please enter your e-mail which attachments can be received address from jpsc2017@japanpolesports.org.
※If the applicant is a minor who is required fill in the name of parental authority.

* Full Name
* Sex  Male      Female
* Date of Birth Year   Month   Day  
* Age
* Country
* Zipcode
* Address
* Phone Number
* E-mail Address
Please enter your e-mail which attachments can be received address from jpsc2017@japanpolesports.org.
* Parental authority (in the case of minors)

■Applicant 2 (In the case of doubles)
※Please DO NOT enter those who are entry single division here.
※Please enter the appliciacnt 2 of the doubles division here.
※Please enter your e-mail which attachments can be received address from jpsc2017@japanpolesports.org.
※If the applicant is a minor who is required fill in the name of parental authority.

* Full Name
* Sex  Male      Female
* Date of Birth Year   Month   Day  
* Age
* Country
* Zipcode
* Address
* Phone Number
* E-mail Address
Please enter your e-mail which attachments can be received address from jpsc2017@japanpolesports.org.
* Parental authority (in the case of minors)

■Consent column
Those who apply to Japan Pole Sports OPEN Competition, Please confirm "Code of Points" and please agree to the regulations.

I agree to the Regulations.


Application has been closed.