Ka
Muso Kai
6th Annual
Summer Seminar
Registration Form
August
10th
to 12th, 2012
Instructions:
Please
fill out the
below form and mail it to Chris Gilham at 9 Coachway Green, SW.
Calgary, AB.
T3H 1V9.
All
fees Payable to
'Calgary Iaido Club':
Name:
In the
section below
please tell us if you are registering for particular sessions ($30 per
session)
or for all sessions ($120):
Total
Cost:
_____________
Payment
Included (Please
Circle): Yes
No
Disclaimer/Waiver
(IMPORTANT):
I, the
undersigned applicant to the Ka Muso Kai Seminar understand that I am
applying
for instruction in kenjutsu, an activity that involve physical
activity. I further
understand that the Ka Muso Kai carries no insurance against injury to
any of
the participants in the seminar.
I hereby acknowledge that I
am assuming the risk
and responsibility for any and all injuries that I may suffer due to
injury,
suffered by me, or caused by third parties to me arising out of the
practice of
Kage Ryu, Niten Ichi Ryu, Jodo, or during the use of any of the
facilities
available. I further acknowledge that I am responsible for providing my
own
personal health, medical, dental and accident insurance coverage. I
hereby
release the Ka Muso Kai and all of its associated persons from
liability for
any injury or loss suffered by myself.
PARENT/GUARDIAN (under
18)___________________________