Registration: Celebration Seminar with Kashiwaya Sensei
Registration form for the Celebration Seminar with Kashiwaya Sensei in Houston (Sugar Land), Texas from February 16-18, 2024.
Sign in to Google to save your progress. Learn more
Email *
Participant's Full Name
*
First and Last Name
Participant's Phone Number
*
Phone number with area code
Participant's Address
*
Full mailing address
Name of Dojo
*
Aikido Rank
Ki Rank
Emergency Contact
*
Please provide their name and relationship to the participant
Emergency Contact Phone Number
*
Phone number with area code
Days Attending
*
Check all that apply. 
$200 for all seminar classes.
Required
Will you attend the Celebration Banquet?
*
Saturday evening's celebration banquet dinner is a separate part of the weekend schedule. 
$125 per person.
Any dietary restrictions or food allergies?
*
Required
Next
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