Nippon Kan Guest Instructor Series 2004
Aikikai Hombu Shihan 8th Dan
Masatake Fujita Sensei
Special Seminar

Fri, May 7th, -Sun, May 9th 2004

Aikido Nippon Kan
Registration Form and Release of Liability

Name
Address
Address2
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Age Male Female Student # [Nippon Kan students only]
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Complimentary T-Shirt size		S   M q   L   XL   XXL
I have read the liability waiver and agree to it’s terms

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