Copy of Registration Form before NEW APP

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Registration

Registration Form

We recommend you click on the icon above for printing or saving your registration form prior to hitting submit.

Participant Last Name

Age as of July 18

Male

Female

Participant First Name

City, Province/State

Phone #

Name of Sensei

Click here for List of Ranks

Kobudo Rank (if applicable)

PRICES

Click on thumbnail to see prices.

Desa & Rooke Students

Guest Invited Dojos

EVENTS

I will purchase a package:

Kenyukai Sensei Package

Black Belt Package

Jr. Black Belt 12-15yrs Teen/Adult Brown & below

Children’s Package (11yrs & under)

If three or more family members are registering for one of the packages take 10% of the total.

I will be purchasing individual options and extra tickets as follows:

Training:

Karate Training

# Seminars

Kobudo Seminar

Total $ for Training

Tournament:

I'm not competing

If competing answer all questions

Kata

Kumite Sparring

If competing in Kumite

Height (inches)

Weight (lbs)

Kubudo

# of years training if under Black Belt

Total $ for Tournament

SOCIALS

Koshukai Kickoff Picnic

#of Tickets

Black Belt Welcome Social

Black Belt Dinner

# of Tickets

Sayonara Banquet

# of Tickets

Total $ for Socials

Do you have any dietary restrictions? (if applicable)

T-SHIRTS

T-shirt is included in all packages - if not purchasing a package or want more than one you can add it to your registration here.

Total $ for T-Shirts

PAYMENT

Payment must be submitted via paypal or eTransfer within 24 hours of online registration OR mail or bring in cash or cheque payment in a timely manner.

Alternate Payment options/plans can be arranged in extenuating circumstances.

For those attending from outside Canada, if the payment options don't work for you please contact us to discuss.

If three or more immediate family members are registering for one of the PACKAGES, take 10% off the total. If family of 3 or more not purchasing a package please contact us to see if you qualify for a discount.

Total $ Amount Owing

I will pay by:

Cheque/Money order made out in Canadian Dollars to SPIRIT

Mail

In Person

eTransfer to Spiritofthenorth@shaw.ca

(Please indicate in the notes what/who payment is being made for)

Send Payment through Paypal to desapaypal@shaw.ca

Funds should be sent in Canadian dollars (click on wallet and currency exchange section). Service charge of $16 for fees under $425 and $25 for fees over $425 must be added to your payment.

(Please indicate in the notes what/who payment is being made for)

Cash

We recommend printing or saving your registration form prior to hitting submit.