WHERE - 431 Boston St. (U S RT. 1) Topsfield, MA 01938

WHEN - October 22, 2011, 11:00 am to 3:00 pm & October 23, 2011, 11:00 am to 3:00 pm

UNIFORM - Clean white gi and obi only, clean fresh body please

WHO - All ranks over the age of 18 (absolutely no minors)

RULES - No cameras or phone photos (if you do you will be asked to leave)

All participants will receive an authorized:

• Group photo with Uechi‘s
• Individual photo with Uechi‘s
• Certificate signed by Uechi‘s
• Light lunch/snack/drink

PAYMENT:

• $100.00 per student, per seminar checks payable to Ipswich Martial Arts
• Pre-registration and payment only - no refunds, no walk ins, no pay at door

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REGISTRATION

STUDENT NAME_________________________________ AGE_____ DOJO___________SENSEI_____________________________
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Disclaimer: Participants practice at their own risk. Ipswich Martial Arts will not be held liable for any injuries, loss or damage to personal property during the course of practice.