Summer of the Tiger, Dragon & Crane - Marital Arts Festival

Please note: Although it is most unlikely that you will experience any problems responding to this form, certain non-standard browsers will not respond properly. If you experience any difficulties, (or if you are not using a forms-capable browser) you may email your response to this form to: gmattson@usa1.com.

The most important Martial Arts event of the year. . . Mark the dates off in your calendar and plan to attend. Open to all ranks and all styles! Activities for family members who do not practice the martial arts. You may pay with Master Card or Visa in addition to all the more conventional methods.... but you must fax or call in your credit card number and expiration date. [Don't ever give out your credit card information over the Web!!] Please fill out the following form as completely as possible to register. In order for the registration to become active however, you must submit your credit card information by fax to 508-559-8913 or call 508-586-3969 or mail money order or bank check in U.S. funds to: George E. Mattson: POB 1867, Brockton, MA 02403. Thanks George E. Mattson

Firstname:                     

Lastname:                      

Address::                      

City::                         

State::                        

Zipcode::                      

Country::                      

Age::                          

Male?:                         

Female?:                       

Association::                  

Style Karate?:                 

Teacher::                      

Rank?:                         

Programs Available:

1. Thur, Fri & Sat nights; All meals & linen set.... $274*

2. Thu, Fri & Sat nights; All meals. NO linen...... $264*

3. Fri & Sat nights; All meals & linen set...... $249*

4. Fir & Sat nights; All meals. NO linen ...... $239*

5. Full Daytrips: 3 days with lunches........ $150

6. Single Daytrips with lunch. [per day] ... $75

[* Add $25 for all applications received after July 15, 1996]

Select Your Summer Camp Program:

1. $274 *
2. $264 *
3. $249 *
4. $239 *
5. $150
6. $75/day [Select day/s]

Friday Daytripper
Saturday Daytripper
Sunday Daytripper
Multiple items may be chosen.

FREE T-SHIRT FOR FULL PAYMENT BEFORE JUNE 30TH, 1996.

Select the weapon you wish to work with at the camp. Make sure to bring your weapon of choice to the camp.

Bo
Nunchuck
Sai
Tonfa
Other_Please_Specify
Multiple items may be chosen.

Other Weapon I wish to study:

Uechi-ryu Kata I wish to study at Camp:

Sanchin
Kanshiwa
Kanshu
Seichin
Seisan
Seiryu
Kanchin
Sanseiryu
Multiple items may be chosen.

Do you or someone from your group lpay a musical instrument? We are looking for camp participants to join the Friday night "Hootnanny".

We are looking for dojo comedy skits for the Friday night entertainment. Does your dojo have the talent and courage to compete in this fun filled event??

Our dojo will compete {skit}
Bringing a musical weapon
Multiple items may be chosen.

General Comments:

Select the method which you will pay:

Sending in Bank Check
Sending Postal Money Order
Visa Credit Card
Master Card Credit Card

Registration for participants arriving Thursday will begin at 6 P.M. Registration on Friday morning will begin at 6 A.M. Sanchin on the beach will begin at 6:30 A.M. on Friday, Saturday and Sunday! Wear bathing suit!!!

WebForms™ 2.1 Unregistered - ©1995,96 Q&D Software Development
http://www.q-d.com/