Academy of Shotokan Martial Arts

Academy of Shotokan Martial Arts

2014-2015

Training Into the New YearGasshuku

December 31, 2014 (10:00 PM) - January 1, 2015 (6:00 AM)

Schedule:

"Always subject to change".....Shihan

10:00PM - 11:45PMTRAINING:Conditioning/Kihons

11:45PM - MidnightBreak

12:00AM - 1:45AMTRAINING:Combinations/Kata

1:45AM - 2:00AMBreak

2:00AM - 3:45AMTRAINING: GoHan, SanBon, IpPon Kumite

3:45AM - 4:00AMBreak

4:00AM - 5:30AMTRAINING: Testing

5:30AM - 6:00AMBelt Ceremony/Clean-up

6:30AMI-Hop

Included in $175 Registration Fee:

8 hours of training/testing

Facility Fee (Emmanuel Center)

Sweatsuit

YOU are responsible for:

Testing Fee (if applicable)

Your own drinks and snacks

Money for I-Hop

PLEASE have Registration Form in NO LATER than November 24, 2014

2014-2015 Gasshuku

**Registration Form**

Name:______E-Mail:______

Sweatsuit Size:______

Testing...yes( ) no( ) Belt rank testing for:______Belt size:______

Amount enclosed:

GASSHUKU$175.00

TESTING FEE:$______

TOTAL:$______

TESTING FEES

**All testing fees include the exam and the belt/certificate if exam passed**

Yellow Belt (8th Kyu)$30.00

Orange Belt (7th Kyu)$30.00

Green Belt (6th Kyu)$30.00

Blue Belt (5th Kyu)$50.00

Purple Belt (4th Kyu)$50.00

Brown Belt (3rd Kyu)$60.00

Brown Belt I Stripe (2nd Kyu)$60.00

Brown Belt II Stripes (1st Kyu)$60.00

Black Belt-Shodan (1st Degree)$125.00

Black Belt-Nidan (2nd Degree)$150.00

For Payment Information Please Call: (509)599-1939

RELEASE INDEMNITY

I, intending to be legally bound, do hereby release The Academy of Shotokan Martial Art's staff and instructors, from any claims, liabilities, obligations, and causes of action or demands. I, intending to be legally bound, do agree to indemnity said Academy of Shotokan Martial Arts, it's staff and instructors, from any act committed during or arising out of or as the result of any activity presented by The Academy of Shotokan Martial Arts. I, further release The Academy of Shotokan Martial Arts, it's staff and instructors, from all claims of liability for any property or valuables lose, mislaid or stolen. I give permission to The Academy of Shotokan Martial Arts, it's staff and instructors, to hospitalize and/or secure treatment for any medical issue or injury. This includes giving permission to exchange, written or orally, any information concerning any injury, illness, or medical history to medical personnel, as needed for emergency medical care. I have read the foregoing and fully understand the contents of this release indemnity.

______

(SIGNATURE if under 18-parent or legal guardian)(DATE)