Registration Form

Aikido Seminar
November 10 and 11, 2001
with
Y. YAMADA SHIHAN and M. KANAI SHIHAN


    Personal information
    Name
    Address
    Phone
    E-mail
    Dojo
    Rank
    Instructor
    Emergency contact


    Seminar fees (50% discount if under 18. Please mark or circle as applicable.)
      Before October 24, 2001 After October 24,2001
    One day C$ 75 / US$ 50 C$ 90 / US$ 60
    Two days C$ 100 / US$ 65 C$ 120 / US$ 80


    Accommodation (Use this section only if you need accommodation or to be picked up.)
    Nr of adults: _______ Single / Couple _______  Nr of Children:_______
    Restrictions: No dogs / No cats / No smoking / Other:
    Allergies:
    If you need to be picked up at the airport, flight number and arrival time
     


    Instructions
    1. Fill this form, sign the waiver, enclose payment and send to Toronto Aikikai.
    2. Please make cheques and money orders payable to Robert Zimmermann.
    3. To qualify for the pre-registration rates, we must receive your forms and payment by October 24, 2001. After that date, please register at the dojo.
    4. Do NOT send cash by mail.
    5. We regret that we can not offer refunds for any reason.
    [Seminar notice | Waiver]

    © 2001 Toronto Aikikai