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Northern California Kendo Federation Iaido Camp 2022
Registration
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NCKF Iaido camp 2022
First Name
*
Your answer
Last Name
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Gender
*
M
F
Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
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Phone:
*
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Email:
*
Your answer
Dojo
*
Your answer
Federation
*
Your answer
AUSKF #
*
Your answer
Current Rank
*
Your answer
Emergency Contact
*
name
Your answer
Emergency Contact
phone
Your answer
Emergency Contact
email
Your answer
Check (payable to Northern California Kendo Federation(NCKF))
Seminar($135)/bento($15)/party($TBD)
*
please indicate attendance/bento and make sure your check is payable to NCKF
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Iaido Seminar $135 ($150 after July 1)
Bento Lunch - Saturday - $15
Sayonara Dinner Saturday $TBD
Bento Lunch - Sunday - $15
0
1
2
3
4
Iaido Seminar $135 ($150 after July 1)
Bento Lunch - Saturday - $15
Sayonara Dinner Saturday $TBD
Bento Lunch - Sunday - $15
Donation to NCKF Iaido Camp
Your answer
Date of 1st COVID vaccination
MM
/
DD
/
YYYY
Date of Second COVID vaccination
MM
/
DD
/
YYYY
Date of COVID Booster shot
MM
/
DD
/
YYYY
Do you consent to wearing a mask indoors at all times during the seminar? Refusal to wear a mask indoors will result in dismissal from the seminar.
Yes
NO
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Type your full name below if you consent to wearing a mask indoors above.
Your answer
Signature (parent or guardian if under 18 years old)
please print, sign and bring this page with you before form submission
Download, print and sign waiver
http://nckf.org/Downloads/AUSKF%20Waiver%20-Release_of_Liability_2021-03_California%2020210419.pdf
REMINDER!!!
Please do not forget to check
http://nckf.org/Iaido
and have your waivers printed + signed and send it it along with your checks!.
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