Please PRINT and MAIL IN this form, there is no online registration

2009 Aug 6-9, 13-15

Calgary Summer Seminar REGISTRATION FORM

NAME:________________________________________________
ADDRESS:_____________________________________________
TOWN/CITY: __________________________________________
PROVINCE/STATE, COUNTRY: __________________________
POST/ZIP CODE:_______________________________________
PHONE:_______________________________________________
 
 
Session Rate ___ SESSIONS X $75CDN = $______
Student ___ SESSIONS  X $60 = $______		 Non-refundable pre-registration deposit $50.00CDN___
7 Days (All sessions of all arts) $390.00 CDN$______
($430.00 "at the door")
Student: $330.00 CDN$______
($400.00 "at the door")		 4 Days (Jodo/NIR Aug 6-9) $290.00 CDN$______
($330.00 "at the door")
Student: $230.00 CDN$______
($270.00 "at the door")
Jodo OR NIR seminar only, Aug 8-9 (2 days) $100.00 CDN$______
($150.00 "at the door")
Student: $60.00 CDN$______
($100.00 "at the door")		 3 Days (Iaido Aug 13-15) $290.00 CDN$______
($330.00 "at the door")
Student: $230.00 CDN$______
($270.00 "at the door")

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

PLEASE READ THE FOLLOWING CAREFULLY

I, the undersigned applicant to the Calgary Summer Seminar understand that I am applying for instruction in kenjutsu, an activity that involve physical activity. I further understand that the Calgary Iaido Club 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 Calgary Iaido Club 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, payable to: Calgary Iaido Club 
Mail to: Alex Cook <alexander.c.cook@gmail.com> at 652 Coach Grove Rd. SW, Calgary, Alberta, T3H 1C6