Please PRINT and MAIL IN this form with your cheque or EMAIL with electronic payment to:
kataylor@seidokai.ca
2017 Sei Do Kai
University of Guelph
July 8 and 9
NAME:________________________________________________
ADDRESS:_____________________________________________
POST/ZIP CODE:_______________________________________
PHONE:_______________________________________________
EMAIL: ______________________________________
NITEN ICHIRYU FULL SEMINAR $190
|
DAILY RATE $130
|
FEES SENT WITH FORM CDN$______
Please make cheques payable to Sei Do
Kai. Electronic payment to:
kataylor@seidokai.ca
I am a beginner at Niten and would like to claim my free set of weapons ______
| You can pay by credit card through PayPal (https://www.paypal.com)
but you MUST print and mail/email the signed registration form:
|
Fees do not include
travel/room/food. Note, you must call or email the hostel and
make your own arrangements.
PLEASE READ THE FOLLOWING CAREFULLY
I, the undersigned applicant to the Sei Do Kai seminar understand that
I am applying for instruction in Niten Ichiryu, an activity that
involve
physical activity. I further understand that the Sei Do Kai 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 due to injury, suffered by
me,
or caused by third parties to me arising out of the practice of Niten
Ichiryu, 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, the
University
of Guelph, 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 with payment (cheques payable to Sei Do Kai)
to:
Kim Taylor, 44 Inkerman St. Guelph Ontario, Canada, N1H 3C5