CAMP BUSHIDO REGISTRATION 2008

NAME:_______________________________________________________________________

ADDRESS:___________________________________________________________________

CITY_________________ST__________ZIP_______________TEL#____________________

AGE/DOB____________________________EMAIL_________________________________

PARENTS NAME__________________________________TEL#______________________

   PLEASE INDICATE WHICH WEEKS YOU ARE REGISTERING FOR AND DROP OFF COMPLETED FORM AT THE DOJO WITH YOUR PAYMENT

$200.00 per Session, with $25.00 per Session due in advance and the $175.00 Balance due on the first day of each Camp.

 WEEK#1 (JULY 7 - 11)                     

 WEEK#2 (JULY 14 - 18)                     

WEEK#3 (JULY 28 - AUGUST 1)                     

Any student who completes two weeks in with perfect attendance will receive that month's tuition free.

Any student who completes three weeks with perfect attendance will achieve promotion to their next Kyu Rank at no extra cost.

I, (we), make application for training in this school, Brattleboro School of BuDo (hereinafter referred to as "BSB"), and upon acceptance I (we) sincerely pledge to obey all rules and regulations, which are set up for the purpose of keeping order in BSB and the prevention of the members from injury. I recognize there is a risk involved in the Martial Arts that requires my adherence to these rules and the instructor's discipline. I (we) release and forever then discharge BSB, its officers, representatives, successors, all officials and assigns including any and all related organizations affiliated with or by BSB from all claims, actions, demands, suits of law or in equity whatsoever which I (we) my (our) heirs, executors, administrators or assigns, may have against said club by reason of any and all known and unknown injuries, disabilities, diseases, damages, physical, mental and emotional damages, or death, losses and expenses sustained by me (or my child) or any heirs, executors, administrators, as a result of any accident while engaged in any physical activity, training, clinics, examinations, demonstrations, or traveling to or from BSB and/or any individual acting as instructor and/or representing BSB. I also acknowledge that I (we) will be solely responsible for any injury which I (we) might inflict on another member of BSB during class time, competitions, promotional examinations, or at any other time while participating in regular BSB activities. I (we) understand that this agreement/application must be approved. I (we) also understand that no representations or statements except herein contained shall be binding.