All United States Kendo Federation Iaido Camp 2015shin

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Registration

First Name *

Last Name *

Gender *

Address *

City *

State *

Zip *

Phone: *

Email: *

Dojo *

Federation *

AUSKF # *

Current Rank *

Emergency Contact *

name

Emergency Contact

phone

Emergency Contact

Check #1

Date of birth *

YYYY

Seminar/taikai/bento/party/souvenir

please indicate attendance/bent/souvenior

Yes

Iaido Seminar (Thursday, Friday) $110

Iaido Taikai (Saturday) $25

Jodo Workshop (Sun 1-5, Mon 9-12am) $25

Lunch - Thursday $10

Lunch - Friday $10

Lunch - Saturday $10

Lunch - Sunday $10

Sayonara Dinner Saturday $40

Non-AUSKF membership Fee $40

Late Fee (after may 29) $35

Donation to AUSKF camp

Clear selection

Tee shirt ($15) each

please specify size and quantity

Donation to AUSKF Iaido Camp

Check #2

Signature (parent or guardian if under 18 years old)

please print, sign and bring this page with you before form submission

Shinsa fees

Yes

Iaido Shinsa Sunday 9-12am

Clear selection

Check #3

Iaido Menjo fee

please also make sure you print out the test forms, gather all the signatures and have it mailed in

rank

No Shinsa test - $0

Kyu (Age 17 and under) - $10

Kyu (Age 18 and above) - $20

1 Dan - $30

2 Dan - $40

3 Dan - $60

4 Dan - $80

5 Dan - $100

6 Dan - $150

Clear selection

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms