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JANUARY 19th & 20th 2008 ORANGE BEACH, AL. Hosted by Gulf Coast Martial Arts and Akayama Ryu Jujutsu: Dates & Saturday 9:00 a.m. till 4:00 p.m. COST: $70.00 if paid by Dec. 20, 2007. $90.00 if paid after. Sunday 9:00 a.m. till 12:00 p.m.
Lodging: All events related to the summer camp are to be announced. Contact: For more information, please contact
Mark Barlow at
akayama_ryu@yahoo.com or (251)979-6019. REGISTRATION AND LIABILITY RELEASE PLEASE PRINT CLEARLY __________________________________________________ _________________________________________________ PRINT NAME PHONE
AND/OR EMAIL ________________________________________________________________________________________________________ ADDRESS ___________________________________________________
_________________________________________________ STYLE
RANK
DOJO
INSTRUCTOR I release all members, guests, and staff of Akayama Ryu Jujutsu, Gulf Coast Martial Arts and any and all participants of the Gulf Coast Martial Arts Camps from any and all liability in the event of loss, injury, or death
before, during and after the __________________________________________________
_________________________________________________ Signature
Signature of Parent of Guardian if under 18 A camp t-shirt is included with tuition if received before December 20th, 2007. Please indicate sizes below.
[ ]
Small [ ] Medium
[ ] Large [
] X-Large [ ]XX-Large Mail
To: Bon Secour, Al. 36511 |