AIKIDO NLC GRAND OPENING FUNDRAISING SEMINAR 10/14/2023
This is a digital version of our registration form. Some paperwork will need to be signed in person. After completed an invoice will be emailed. Potluck is included, as well as we will be holding a Chusen 抽選 to raise money for the dojo.
Name
First Name
Last Name
Home Dojo:
Rank
Unranked
White Belt
Black Belt
Aikido Instructor
Date of Birth
-
Month
-
Day
Year
Date
Email
example@example.com
Payment type
Invoice sent by email
Cash/Check at Event
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact
First Name
Last Name
Relation
Phone Number
Please enter a valid phone number.
Are you in one of these groups
USAF MEMBER
FOUND FRIEND MEMBER
NONE
Parent/Guardian Signature
Clear
Submit
Should be Empty: