Please PRINT and MAIL IN this form with your cheque
or EMAIL to kataylor@rogers.com Online payments can also be made to this email via Paypal or other electronic transfer.

2016 November 11-13

CKF Fall International Jodo Seminar and Grading

Registration Form

NAME:________________________________________________
ADDRESS:_____________________________________________
TOWN/CITY: __________________________________________
PROVINCE/STATE, COUNTRY: __________________________
POST/ZIP CODE:_______________________________________
PHONE:_______________________________________________



Pre Registration Fees
At the door Fees
All Classes
$170 $200 at the door
Friday class $70 $90 at the door
Saturday class $100 $120
Sunday class $70 $90

FEES SENT WITH FORM CDN$______  
Fees don't include travel/room/food.

PLEASE READ THE FOLLOWING CAREFULLY

I, the undersigned applicant to the CKF Fall Jodo Seminar and Grading understand that I am applying for instruction in jojutsu, an activity that involves physical activity. I further understand that the Sei Do Kai and associated persons carries no insurance against injury to any of the participants in the seminar.

I hereby acknowledge that I am assuming the risk and responsibility for any and all injuries that I may suffer, caused by me or caused by third parties to me arising out of the practice of Jodo, or during the use of any of the facilities available. I further acknowledge that I am responsible for providing my own personal health, medical, dental and accident insurance coverage. I hereby release the Sei Do Kai and all of its associated persons from liability for any injury or loss suffered by myself.

DATE_______ SIGNATURE ______________________________

PARENT/GUARDIAN (under 18)___________________________



Please mail this form, cheques payable to: Sei Do Kai
E/Mail to: Kim Taylor kataylor@rogers.com at 44 Inkerman Street, Guelph Ontario Canada N1H 3C5