For more information contact: Kim Taylor
44 Inkerman St
Guelph Ont
Canada N1H 3C5
Phone 519-836-4357, Fax 519-763-6682
email kataylor@uoguelph.ca
FORM AND FEES TO: Kim Taylor, 44 Inkerman St.Guelph, Ontario Canada,
N1H 3C5.
Make Cheques payable to: SDK Enterprises Inc.
ADDRESS:
CITY:
POST/ZIP CODE:
PHONE:
FAX:
EMAIL:
FEES SENT WITH FORM CDN$______
You can pay by credit card (click on the icon below) through PayPal (https://www.paypal.com) but you MUST print, sign and mail the registration form and email us to tell us what you've just paid for please: |
(Fees don't include travel/accomodation/food.)
I hereby acknowledge that I am assuming the risk and responsibility
for any and all injuries that I may suffer due to injury, suffered by
me,
or caused by third parties to me arising out of the practice 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, Thak
the Blacksmith and Armorer, and all associated persons
from
liability
for any injury or loss suffered by myself.
DATE / Signature
PARENT/GUARDIAN (under 18)