EmailMe Form - BCAF Aikido Summer Camp 2013 Registration

Contact Information

Name *

First Last

Address *

Street Address City State / Province / Region Postal / Zip Code Country / Region

Email *

Phone *

### - ### - ####

Emergency Contact Name *

Emergency Contact Phone *

### - ### - ####

Dan/Kyu

Dan

Kyu

Rank

Note: Candidates for testing/grading must notify the Camp Organizer (Michael St. Germain) at least one week before camp starts, identifying the dan rank for which he/she intends to test. Note that proper paperwork for testing must include written permission of his/her Sensei.

Camp Attendance

Attendance Options & Costs
(Full camp Early Registration $40/Day, or $45/Day after July 31st) *

Full Camp

Partial Camp

Payment received before 01 August will be considered "Early" registration, with a mat fee of $40/day. Payment received on and after 01 August will be considered "Late" registration, with a mat fee of $45/day.

If You are only attending part of the camp, which days will you be attending?

Aug 30th (Friday)

Aug 31st (Saturday)

Sept 1st (Sunday)

Sept 2nd (Monday)

Payment

Please mark how you are paying: *

Cheque or Money Order

Pay at Camp

NOTE: Please Mail your payments to the following address:

Eric Armstrong
210 - 160 19th Street East
North Vancouver
BC V7L 2Y8

Payment at the seminar

(This is the least-preferred option.)

Please bring a printed copy of this form with you when you register and pay on-site.

Would you like a Camp Receipt?

Yes