Registration Form
Chris Seto Payne Sense 6th Dan Open Winter School 2nd -5th May 2025
Name
First Name
Last Name
Email
example@example.com
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Are you planning to grade on Monday? (Club members only)
Yes
No
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GUESTS ONLY: If you are not an existing club member, you'll be asked to sign a disclaimer before being allowed to train. Please supply details of your age, club and organisation, your grade and your level of experience (the time you have been training). Please also let us know before you train of any medical condition that might affect the safety of yourself or others during training.
Eg 30 years of age; Utopia Aikikai, 6th Kyu, 6 months training. No health problems.
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Course Payment. Please make your payment to: Brisbane Aikikai Inc BSB: 064111 AC:10171456. Please use your NAME as the payment reference. Please select the applicable option.
I have paid - Full course $120
I have paid - 2 days: $100
I have paid - 1 day or Part day: $50
I will pay on the day
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Name and Tel Number of your Emergency Contact:
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