Participation Waiver
This form is a legal document which must be signed as part of participation in any Free Aiki Dojo, Golden Bears Aikido Club, and Peace Practices classes, as well as with Brandon Williamscraig in any context in which and with any partner with whom he provides teaching or facilitation.
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Personal Information
First Name
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Last Name
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Email Address
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Phone Number
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Where do we find each other? Please select all that apply.
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Aiki Extensions
Aikido of Berkekey
Beacon Day School
Epworth UMC
The Flight Deck (Downtown Oakland)
Free Aiki Dojo - Golden Bears Aikido
Oakland, City of
Pacific Rim International School - Emeryville
Pacific Rim International School - San Mateo
Pacifica Graduate Institute
Public Seminar
Richmond, City of
TSYR
UC Berkeley
Other:
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Info required when signing for a minor - skip otherwise
Relationship to child(ren)
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Full Name of first child:
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Date of Birth of first child:
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Full Name of second child:
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Date of Birth of second child:
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Anything we need to know (medical/developmental issues/concerns?)...
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