Registration Form - USA Shaolin Open

Seminar Registration

USA Shaolin Open Seminar Series | Sanctioned by USAWKF
Athlete's Full Name*

First NameLast Name
Name Pronunciation
Date of Birth*

MonthDayYear
Date
Age
E-mail*
example@example.com
Phone Number*
Format: (000) 000-0000.
Home City*

Street Address

Street Address Line 2

CityState

Zip Code
Wushu School
School / Training Center Representing
Collegiate Team
Collegiate Wushu Team Representing
Beginner (1 to 2 years of total training time)Intermediate (2 to 4 years of total training time)Advanced (5+ years of total training time)

Seminar Information
Seminar Location

Denver Shaolin Kung Fu Taichi Institute

5001 S Parker Rd Unit 103, Aurora, CO 80015
Seminar Dates

February 14th - February 16th
Colorado Masters

1. Chon Junhong on Shaolin Rouquan - Juhong's Kung Fu Club

2. Matthew Tay on New Gen 3rd Set Compulsory Chen Taiji - Qing Ping Taiji

3. Selina Tao on Health Qigong - United States Health Qigong Association

4. Gao Song on Modern Wushu - USAWKF Certified Judge

5. Master Shi Yan Xu on Shaolin Mantis - Shaolin Temple Cultural Center
Seminar Schedule (Tentative)

Saturday

9:30 AM – 12:00 PM: Gao Song
1:00 PM – 3:30 PM: Selina Tao
4:00 PM – 5:30 PM: Junhong Chon

Sunday

9:30 AM – 12:00 PM: Shi Yan Xu
1:00 PM – 3:30 PM: Matthew Tay

Please Note:
Each seminar is scheduled for 2.5 hours, with 30-minute breaks between sessions for meals or rest. Instructors may adjust their sessions to run between 2 and 3 hours as needed.
Seminar Pricing

Bundle up and save!

$120
One Seminar

$210
Two Seminars

$300
Three Seminars

$380
Four Seminars

$450
Five Seminars

Photo Consent Form

USA Shaolin Open Seminar Series
Participant agrees that any pictures, audio, or visual recordings taken of him/her in connection with USA Shaolin Open Seminar Series can be used for publication, promotion, articles, shows and advertisement without additional consent and without compensation at this time or any other time.
YesNo

Liability Waiver Form

USA Shaolin Open Seminar Series
I am not aware of any injury, illness, or other health related issues that would restrict my ability to participate in the USA Shaolin Open Seminar Series.

I agree to assume all risks and expenses due to any injury (physically, mentally, and emotionally) that can occur during my participation in the USA Shaolin Open Seminar Series.

I agree to not hold any instructor, staff member or volunteer of the USA Shaolin Open Seminar Series, The Denver Shaolin Kung Fu Tai Chi Institute, and the USAWKF responsible should I get hurt (physically, mentally, and emotionally) while spectating or participating in this seminar.
Name of Participant*

First NameLast Name
Parent or Legal Guardian (for Participants under the age of 18)

First NameLast Name
I have read and agree with the terms of the Liability Waiver.
Signature*

Seminar Registration
Chon Junhong - Shaolin RouquanMatthew Tay - New Gen 3rd Set Compulsory Chen TaijiSelina Tao - Health QigongGao Song - Modern WushuMaster Shi Yan Xu - Shaolin Mantis
USAWKF Member #
If applicable

Total Registration Fee*

1 Seminar

$120.00

2 Seminars

$210.00

3 Seminars

$300.00

4 Seminars

$380.00

5 Seminars

$450.00

Seminar Registration