Northern California Kendo Federation Iaido Camp 2016
Registration
NCKF Iaido camp 2016
Description to come
First Name *
Last Name *
Date of birth *
MM
/
DD
/
YYYY
Gender *
Address *
City *
State *
Zip *
Phone: *
Email: *
Dojo *
Federation *
AUSKF # *
Current Rank *
Emergency Contact *
name
Emergency Contact
phone
Emergency Contact
email
Check #1
Seminar($125)/bento($10)/party($35)
please indicate attendance/bent
Yes
No
Iaido Seminar (July22-24) $125
Lunch - Saturday $10
Sayonara Dinner Saturday $35
Clear selection
Donation to NCKF Iaido Camp
Check #2
Signature (parent or guardian if under 18 years old)
please print, sign and bring this page with you before form submission
Shinsa fees
Yes
No
Iaido Shinsa Sunday 9-12am - $30
Clear selection
Check #3
Iaido Menjo fee
please also make sure you print out the test forms, gather all the signatures and have it mailed in
rank
No Shinsa test - $0
Kyu (Age 17 and under) - $10
Kyu (Age 18 and above) - $20
1 Dan - $30
2 Dan - $40
Clear selection
Submit
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