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.
Email address *
Name *
Age (under 18 allowed with a guardian present for the full class) *
Address *
Home Dojo *
Please indicate if you have an Iaito and Bokken. ***Loaner Bokken maybe available with advance notice. *
Required
Emergency Contact (Name) *
Emergency Contact (Phone) *
Photo/Video Release
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 *
Please note each person will be required to a sign release form prior to training for this program.
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