2008 Weekend
with the Masters
Date:
Location:
Time:
Tuition:
$79.00 each; Family members $69.00 each
*See below for additional instructions
Name: _____________________________________ DOB:
_________ Rank: _________
Sex: _______ Member ID #: ___________ E-Mail:
_________ _____
Address: _____________________________ City_____________________
State: ______
Phone: _____________________ Instructor’s Name:
______________________________
Check Enclosed_____ Money Order Enclosed_____
Master Card
Visa American
Express Discover
(circle one)
Card Number:______________________________ Expiration
Date:__________________
Signature:__________________________________ Date:____________________________
*Lunch will be provided; If you are a 1st dan,
red belt or green belt please bring a practice dagger (rubber, wooden or
unsharpened metal or a kitchen butter knife will do), 2nd dans
please bring staff and third dans please bring a
practice sword with you for the training.