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If you wish to attend the 2005 Shuyokai Spring Training Camp at the Shuyokan Dojo, please fill out this application form. Each individual should fill out and submit his/her own form.

Note: All fields must be filled out before you will be able to send us the form, except the second rank question if you will not be testing during the Camp.

 
Participant's Name
Participant's E-Mail Address
(if you don't have one, use a friend's)
Phone Number (with area code)
Address
City
State
Zip Code
Country
Name of School
Current Style and Rank
Are You A Student or an Instructor ?  
Will you be testing for a Black Belt promotion during the Camp? Yes No            
If Yes, what rank will
you be testing for?
Choose a T-Shirt size S M L XL XXL
Click the Submit button only once per applicant.

Please wait while the processing takes place.

Thank you - Shuyokan Dojocho
Shuyokan Martial Arts Center, Costa Mesa, California, USA Shuyokan Martial Art Center, Costa Mesa, California, USA
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