Ohana 2003 Martial Arts Convention, registration form

OHANA 2003

Aug. 29 - Sept. 1, 2003

Foster City, CA

(one form per person)

Please fill out the form either on the computer or by hand, and mail the printed copy, signed at the bottom, with your check to the address indicated at the bottom of the page

Name		Age
Street Address
City	State	Zip
Day Phone	Evening Phone
E-mail	Organization
Dojo	Style	Rank

**if your information is longer than the text box, please fill that section in by hand once you have printed the form

Convention Package (Clinics, Banquet, T-Shirt)	Adults	Kids (12 yrs & under)	Total
Pre-register before July 15	$120	$60	$
Late registration July 15-Aug 28	$130	$65
T-Shirt Size	S M L XL XXL
Banquet	NY Steak Chicken Veg. Lasagna	Chicken Nuggets

Clinics Only	Adults	Kids (12 yrs & under)	Total
Pre-register before July 15	$65	$30	$
Late registration July 15-Aug 28	$75	$35
Walk-in registration Aug 29-30	$85	$40

Banquet Only	Adults	Kids (12 yrs & under)	Total
	$45	$25	$
	NY Steak Chicken Veg. Lasagna	Chicken Nuggets	$

	Total
Ohana 2003 T-Shirt: $18, Adult Sizes S M L XL XXL	$
	$

*No Videotaping of clinics is permitted

Make checks payable to: Ohana 2003

Mail to:

Ohana 2003 Convention

c/o Laura Welch

3140 Tristian Ave

San Jose, CA 95127

WAIVER -- ALL PARTICIPANTS MUST SIGN BEFORE ATTENDING

In consideration for the privilege of participating in the Ohana 2003 Convention, I the undersigned release, acquit, and forever discharge Jujitsu America and each of its officers, agents, and employees but not limited to them, of and from any and all claims, demands, and causes of action which the undersigned may now or shall hereafter have or claim for on account of, or deriving in any manner from any injury to person or damage to property of any nature arising out of participation in the martial arts classes and/or other activities herein described, or any activity or travel related thereto or attendance thereat. The obligations and undertakings herein expressed shall be binding on the heirs, executors, administrators, representatives and assignees of the undersigned. I realize that the practice of martial arts contains an inherent risk of personal injury and I hereby assume that risk.

Participant Signature ________________________________ Date __________

Signature of Parent or Guardian ________________________________ Date __________

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