//Registration-SCKF Kata Seminar 7/17/2022
Registration deadline 7/10/2022 (Sun)
Location: El Rancho High School  6501 Passions Blvd. Pico Rivera 90660
Date/Time: 7/17 (Sun) 9AM~4PM  SIGN IN CLOSES AT 8:45AM SHARP
*This seminar is for kenshi 2dan and above
**WEARING MASK DURING SEMINAR IS REQUIRED
***PLEASE ENTER FOR EACH SENSEI (INCLUDING 7DAN) AND KENSHI PLANNING ON PARTICIPATING
****Please bring a check per dojo for bento fees ($10 per bento except 7dan sensei who will be provided free bento)

More information will be coming on the SCKF website
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Dojo *
Last Name *
First Name *
Age *
Rank *
Bento lunch? ($10 each except 7dan)
SCKF COVID Questionnaire
Symptoms: you or anyone in your household, within 10 days prior to the practice:
- fever (over 100.3 degrees)
- cough
- sore throat
- body ache, headache
- nausea, vomiting, diarrhea
- shortness of breath or difficulty breathing
- fatigue
- chills
- nasal congestion
- confusion, brain fog
- loss of taste or smell
Exposure: you or anyone in your household
- currently have COVID-19 or are subject to any specific order to self-quarantine or self-isolate
- had close contact* with anyone with COVID-19 or its symptoms within 10 days prior to the practice
Condition:
- lack of stamina while wearing a mask (e.g. cannot do 50 hayasuburi)
- taking medications to suppress fever, cough, or congestion symptoms

The above will be double checked during sign in for the practice. If you answer yes to any of the above, we will ask you not to participate in the practice.

*Close contact means having been within 6 feet of a COVID-19 positive or symptomatic person for a cumulative total of 15 minutes or more over a 24-hour period starting from 2 days before illness onset (or, for asymptomatic individuals, 2 days prior to test specimen collection) until the time the individual is isolated, or had direct contact (e.g. being coughed on).

If you answer "YES" to any of the above items, we ask that you not sign up for this practice (close this form now). Your answer to all: *
All participants must answer "yes" to the following questions.
I am fully vaccinated against COVID-19, and have shown proof to my dojo *
I agree to notify SCKF if I or anyone in my household develops COVID-19 symptoms within 72 hours after the practice or tests positive for COVID-19 within 7 days after the practice (your privacy will be maintained). *
I am a current registered member of SCKF, and have printed, signed, and submitted the latest AUSKF waiver form to my dojo: https://www.eanet.com/sckf/articles/2021/docs/AUS_waiver_2021-03_rev5.pdf*Yes *
Agreement:  If I do not attend for any reason, any bento order paid on my behalf will be the responsibility of my dojo.   I also agree that I am a qualified member of Southern California Kendo Federation and I am registered through my dojo.  (After agreeing, click "SUBMIT" below)                 *
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