Seminar Registration

Hitohiro Saito Seminar 2007

Name*:
Address*:
City*:
State*:
Zip*:
Country:

Phone*:
E-mail Address:
Name of Dojo:
Rank:
T-shirt Size:
Days Attending
Number of Guests Attending Dinner ($10 Per Person)

Please read the following Carefully

By submitting this form, I, recognized as the releasor, understand that my participation in the referenced Aikido seminar is voluntary and at my own risk and expense. Releasor also understands that the practice of Aikido involves bodily contact and the use of weapons and has inherent risk of injury. Releasor hereby assumes full responsibility for any risk of bodily injury, death or property damage due to the negligence of all releasees, or otherwise, while in or on the designated locations for the Aikido workshop and/or while attending, practicing or for any purpose participating in the Aikido seminar.

I Agree*

* Indicates Required Fields