2019 Shodan Shiken Registration
This is the registration form for the 2019 Shodan Shiken Seminar in Denton, Tx.

March 22-24, 2019

This event is by Invitation only.

Email address *
First Name *
Your answer
Last Name *
Your answer
Dojo *
Home Address - Street 1 *
Your answer
Home Address - Street 2
Your answer
Home Address - City *
Your answer
Home Address - State *
Your answer
Home Address - Zip Code *
Your answer
Contact Information (How can we reach you during the event?) *
Your answer
Current Rank - Seitokai *
Current Rank - Zen Nippon Iaido Renmei *
Will you be testing? *
Testing Fees:
You have the option to pay your testing fees in either Japanese Yen or US Dollars. The US Dollar amount is slightly higher than the Japanese amount due to the possibility of exchange rate fluctuations. Most people just pay the USD amount, but you do have the option.

Please see the chart below to determine the cost associated with the rank you are testing for:


Rank Total JPY Total USD
==============================
Shodan ¥5,000 $50.00
Nidan ¥5,500 $55.00
Sandan ¥7,000 $70.00
Yondan ¥8,500 $85.00
Godan ¥10,000 $100.00
Rokudan ¥21,000 $210.00
Renshi ¥29,000 $295.00
Nanadan ¥38,000 $385.00
Kyoshi ¥46,000 $465.00
Hachidan ¥56,000 $570.00

Emergency Contact - Name *
Your answer
Emergency Contact - Phone # *
Your answer
Emergency Contact - Other Contact info
Your answer
Waiver: I will not hold the organizers of the 2019 Shodan Shiken responsible for any injury to self or damage to property. I further release the ownership of The Dojo, it's representatives , and the Lone Star Indoor Sports Center from liabilty due to accident or injury *
Required
Do you need a homestay?
Do you need an airport pickup?
Weekend Fees *
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