Seminar Registration
Aikido seminar, PAT HENDRICKS SHIHAN; Saturday June 2nd to Sunday June 3rd 2018.

Location:
Royal City Aikido
259 Grange Road, Guelph, Ontario
N1E 6N9, Canada

Presented by:
Royal City Aikido (http://royalcityaikido.com)
Golden Triangle Aikido (http://goldentriangleaikido.ca)

Sponsored by:
Guelph Toyota (http://guelphtoyota.com)

Personal Information
The information you provide on this form is used ONLY for registration purposes for this seminar. It will not be shared outside of our event team and you will not be added to any email lists.
Name *
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Street address *
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City *
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Province/state *
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Postal/zip code *
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Phone number *
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Email address *
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Aikido home dojo name and city *
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Aikido rank *
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Registration Details
Your registration won't be complete until your payment is received. After completing and submitting this form, please leave your payment at the dojo during class, or mail your payment to us at:
116 College st, Kitchener ON, N2H 5A3
or you can do an email transfer to:
info@goldentriangleaikido.ca
(please provide the password in the "anything else" field below; for example, "seminar2018")
Event registration (early bird pricing) *
Optional: Event Shirt ($20)
Event shirts are available by pre-order ONLY! Front has takemusu aiki on the left chest, back has a large custom illustration based on an actual photo of Hendricks Sensei, with the seminar date and location. Shirts will be in light blue, are 100% cotton, and available in mens/unisex or womens styles.

To order a shirt, registration and payment must be received before Sat May 5, to allow time for printing!

Shirt size
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Additional Questions
Anything else we should know?
Comments? Need extra shirts or other sizes? Email transfer password? Questions?
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Waiver *
I am aware that I am applying for instruction in a martial art involving strenuous physical activity and personal body contact which can be physically harmful, and that the Seminar organizers and participants cannot guarantee my safety from harm while participating in this Seminar. I hereby release and discharge Golden Triangle Aikido and Royal City Aikido, its officers, organizers, instructors, assistants, volunteers, and participants from any liability whatsoever, resulting from or in any manner arising out of an injury, loss, or damage that may be substantiated to me or my property on account of my participation and/or transportation connected with, herein said activity. I have carefully read this agreement, understand it, am aware that it is a release of liability, and agree to be bound by its terms.
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