Spring Camp 2011 Registration Form
Enter your details below to register for Spring Camp. Your registration will not be complete until we receive your deposit payment.
First Name: Surname:
Dojo: Ryukenkan (Tauranga)Bukenkan (New Plymouth)Kobukan (Wellington)Rikenkan (Stokes Valley)Invercargill (Canada Eh!)Ryubeikan (HQ) Contact Phone Number:
Rank: Jukyu (Ungraded)Kukyu (White Belt, Black Tag)Hachikyu (Yellow Belt)Shichikyu (Orange Belt)Rokkyu (Purple Belt)Gokyu (Blue Belt)Yonkyu (Green Belt)Sankyu (Brown Belt)Nikyu (Brown Belt, One Black Tag)Ikkyu (Brown Belt, Two Black Tags)ShodanNidanSandanYondanGodanRokudanKaicho Email Address:
TShirt Size:
Kids Sizes: 6 8 10 12 14
Adults Sizes: S M L XL XXL XXXL
(Additional T-Shirts can be ordered at a cost of $25 each - give details in the comments box below)
Do you have any special dietary needs? : NoneVegetarianHalalKosherOther (please give details in comments box)
Comments:
Camp Deposit & Fee
The 2011 Camp Fee is $85 per person.
Your Camp Deposit is $40 and must be paid by the 1st of September. All Camp deposits must be banked into the Ryukenkan Dojo Bank Account. Camp deposits are not refundable in the event of a cancellation.
The remainder of the camp fee must be paid into the Ryukenkan Dojo Bank Account by the 20th of September.
You will be advised by email that your payment has been received.
The bank account details are as follows:
National Bank
BOP Ryukyu Kempo Club
06-0379-0134934-00
If your deposit has not been received by the 1st of September,
you will not receive a Camp T-Shirt
