Registration - Mustard Shihan 8th Dan & Thambu Shihan 8th Dan
June 2, 3, 4, and 5, 2022
Sendokan Aikido Dojo
1200 Aimco Blvd, Mississauga, ON L4W 1B2
Sign in to Google to save your progress. Learn more
Email *
Attendee First Name *
Attendee Last Name *
Attendee's current kyu/dan
Email *
Each clinic is $55.00. What clinics will you attend? *
Required
I understand that my registration is not guaranteed until I send e-mail money order to sendokan.aikido@gmail.com or Paypal nic.mills64@gmail.com *
Required
READ THE FOLLOWING CAREFULLY:
RELEASE OF LIABILITY / ASSUMPTION OF RISK
I hereby apply to participate in a class /or classes of AIKIDO at Erindale Aikido Yoshinkan Association and / or Sendokan Dojo. I
acknowledge that AKIDO is a martial art involving strenuous exercise and personal contact. I am in good health and /or have
received my doctor's permission to participate in AIKIDO.

As a condition of participating in any class in AIKIDO, I assume the risk of all injury and do hereby hold Erindale Aikido
Yoshinkan Association and / or Sendokan Dojo, it's instructors, officers, and /or employees, as well as the owner(s) of the
premises, harmless from any and all liability (including attorney's fee and costs) for (1) all claims, actions or damages due to injuries suffered by me or caused to third parties by me arising out of activities involving AIKIDO, or any variation thereof
whether occurring on the premises of; Erindale Aikido Yoshinkan Association and / or Sendokan Dojo (2) loss or damage to
personal property brought into or left on the premises.
I agree to abide by the rules of Erindale Aikido Yoshinkan Association and / or Sendokan Dojo, and to follow explicitly all
instructions given by instructors during the course of my instruction.

If under eighteen (18) years of age, the person acknowledging this statement must be a parent or guardian. I the undersigned, as parent or guardian of the above applicant, certify that I have read the above application and I consent to the applicant's participation in a class or classes of aikido and I agree to the provisions of the contract for myself and said applicant.
For under 18, please provide guardian name
Checking this box indicates agreement to the liability statement above and acts as signature of participant or guardian of participant *
Required
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy