Registration form: Introduction to Ryushin Shouchi Ryu with Kunikazu Yahagi Sensei
This pre-registration form will help us make plan and address any needs prior to the workshop. We will also be able to determine if and how many loaner bokken are needed so as many people as possible can be on the mat.
*Please note each person will be required to sign a release form prior to training for this program.
Age (under 18 allowed with a guardian present for the full class)
Please indicate if you have an Iaito and Bokken. ***Loaner Bokken maybe available with advance notice.
Yes - (I have my own Iaito and Bokken)
I only have a Bokken - (Please note: an Iaito, or Bokken with plastic Saya will be required for the Iaito training session)
Neither - (Please note: an Iaito, or Bokken with plastic Saya will be required for the Iaito training session)
If available I will need a loaner Bokken
Emergency Contact (Name)
Emergency Contact (Phone)
I hereby grant the Bond Street Dojo permission to use my likeness in photographs, video or other digital reproduction in any and all of its publications, including website entries, without payment or any other consideration. I understand that any photographs/videos/digital reproductions using my likeness may be used for promotional and/or informational purposes. I make this agreement on behalf of myself, my heirs, successors, executors, estate, and dependents.
By clicking on "Accept", I am asserting agreement and that I am over 18 years of age, and that I am an adult.
Photo and video release
I have registered with the Paypal link
I have mailed a check to Bond Street Dojo, 161 E, 106th Street, NY, NY 100027
I will pay $50 at the door
Paypal Link on our website event page if needed:
Please note each person will be required to a sign release form prior to training for this program.
Send me a copy of my responses.
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