Shotokan Karate Winter Open-course

March  10th 2018  (Saturday) 10.30am - 3.20pm

Caister Academy sports hall
Caister Academy, Windsor Road, Caister On Sea, Great Yarmouth, Norfolk, NR30 5LS .

With top UK Sensei's:

 Kevin Leigh 6th dan    Colin Needham 5th dan  Ivor Garner 6th dan

Paul Filenczuk 5th dan Sharon Thompson 4th dan

Plus other UK & International Instructors (minimum age 12 years)

 Instructor information links:

(For entire weekend course and accommodation details click here)

 

Adults @ 30.00   ______________

Children 13-16yrs @ 25.00   ____________

Name_______________________________             
Age__________________    Grade________________   
Address___________________________________________________
Phone no______________                Dojo_________________   

E-Mail___________________@___________________________

Signed__________________________Date________________

 

READ THE FOLLOWING CAREFULLY - IT LIMITS OUR LIABILITY

I, the undersigned understand that I am applying for instruction in a martial art involving strenuous exercise and personal body contact. I acknowledge that any insurance that the organisers may carry may not cover injury.  I do hereby hold the Schools, their instructors, employees, volunteers, and agents harmless from any and all liability (including legal fees and costs) for all claims, actions, or damages due to injuries suffered by me or caused to third parties by me, arising out of activities involving Karate and Gashuku events, or any variation thereof, whether occurring on the premises of the organisers or elsewhere, excepting only those claims, actions, or damages caused by the gross negligence or wilful misconduct.  I agree to abide by the rules of the organisers and to follow all instructions given by instructors during the course of this event.

Date __________________   Signature ___________________________________________

If student is under eighteen (18) years of age, parent or guardian must sign here.

I, the undersigned, as parent or guardian of the above applicant, certify that I have read the above application and I consent to the applicant's receiving the instruction applied for and I agree to the provisions of the contract for myself and said applicant.

Date __________________   Signature ___________________________________________

Cheques payable to 'K Leigh' and send to: Sensei Kevin Leigh, 3 Diamond Road, Watford, Hertfordshire, WD24 5EN.

 (All fees non returnable).