Northern California Kendo Federation Iaido Camp 2019
Registration
* Required
NCKF Iaido camp 2019
First Name
*
Your answer
Last Name
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Gender
*
M
F
Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Phone:
*
Your answer
Email:
*
Your answer
Dojo
*
Your answer
Federation
*
Your answer
AUSKF #
*
Your answer
Current Rank
*
Your answer
Emergency Contact
*
name
Your answer
Emergency Contact
phone
Your answer
Emergency Contact
email
Your answer
Check #1 (payable to NCKF)
Seminar($125)/bento($12)/party($35)
*
please indicate attendance/bento
0
1
2
3
4
Iaido Seminar (Oct 12-13) $125
Bento Lunch - Saturday - $12
Sayonara Dinner Saturday $35
Bento Lunch - Sunday - $12
0
1
2
3
4
Iaido Seminar (Oct 12-13) $125
Bento Lunch - Saturday - $12
Sayonara Dinner Saturday $35
Bento Lunch - Sunday - $12
Donation to NCKF Iaido Camp
Your answer
Rank requested (test fees)
up to 2 Kyu 17 yrs & under - $ 20
up to 2 Kyu 18 yrs & above - $25
1kyu/1dan - $30
2 dan - $35
3 dan - $40
Clear selection
Signature (parent or guardian if under 18 years old)
please print, sign and bring this page with you before form submission
Shinsa
*
Yes
No
Check #2 (only if you take shinsa, payable to NCKF)
Iaido Menjo fee (separate check)
*
please also make sure you print out the test forms, gather all the signatures and have it mailed in
No Shinsa test - $0
up to 2Kyu (Age 17 and under) - $20
up to 2 Kyu (Age 18 and above) - $30
1kyu/1 Dan - $50
2 Dan - $60
3 Dan - $80
Please do not forget to check
http://nckf.org/Iaido
and have your waivers printed + signed and send it it along with your checks!.
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