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Adult Registration Form and Waiver
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Email
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Your email
For which course do you want to register?
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1. Beginners Aikido
2. Beginners Aikido and Iaido
3. Beginners Iaido / Weapons
4. Visitor
5. Existing Member
Full Name
*
Your answer
Date of Birth
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MM
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DD
/
YYYY
Gender
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Male
Female
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Home Address
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Your answer
City
*
Your answer
Province
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Your answer
Postal Code
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Your answer
Phone 1
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Your answer
Phone 2
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Phone 3
Your answer
Comments / Questions
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