Summer Seminar 2017 Online Registration Form

July 5 & 6, 2017

Ka Muso Kai Calgary's annual summer seminars will feature sessions in Seitei Iaido, Seitei Jodo, Hyōhō Niten Ichi-ryū, and Kage Ryu. They will be held at St. Matthew's United Church (2036 - 26A St. SW). Our clinicians are Kim Taylor (Iaido 7 dan, Jodo 5 dan, Renshi), Kajiya Takanori (Soke Hyōhō Niten Ichi-ryū), and Colin Watkin (Menkyo Hyōhō Niten Ichi-ryū, 12th Shihan Choken Battojutsu Kageryu).

** If you would like to order a bo ($30 for straight-ish or $60 for straight), contact Elena Kay at atlantaia@gmail.com by Tuesday, June 13, 2017. ** 

Participant Name *
Participant Name
Guardian Name (if Participant is under 18)
Guardian Name (if Participant is under 18)
Address
Address
Phone *
Phone
Do you have any health or learning conditions that may affect you during the seminar (If “YES”, please specify):
Seminar Session Registration *
Please check all sessions you would like to register for. NOTE: Schedule subject to change without notice.
Payment for Training Sessions *
Lunches are not provided as part of admission to the seminars. Feel free to bring your own lunch or purchase pizza and pop through the KMK at a price of $7 per lunch. Lunch fees can be paid at the door. Your registration will be complete upon receipt of your completed form and fees. Although early payment is strongly encouraged, we will also accept payment at the door.
Payment Method *
MEDIA WAIVER *
I hereby grant permission to Ka Muso Kai, its agents and assigns, to use my (or my child's) photo or video, and likeness for the purpose of promotion by Ka Muso Kai for all forms, media and manners, for the following, but not limited to, news releases, photographs, video, audio, website, marketing, advertising, trade, promotion, exhibition for an indefinite period of time. I give unrestricted permission for images, videos, and recordings of the child to be used in print, video, digital and internet media. I agree that these images and/or voice recordings may be used for a variety of purposes and that these images may be used without further notifying me. I further acknowledge that I will not be compensated for these uses and the Ka Muso Kai owns all rights to the images, videos, and recordings, and to any derivative works created from them. I waive any right to inspect the uses of any printed or electronic copy. I hereby release Ka Muso Kai and its agents and assigns from any claims that may arise from these uses, including without limitation claims of defamation or invasion of privacy, or of infringement of moral rights or rights of publicity or copyright.
RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS & INDEMNITY AGREEMENT *
I, the undersigned applicant to the Ka Muso Kai seminar understand that I am applying for instruction in martial arts activities that involve physical activity. I further understand that the Ka Muso Kai carries no insurance against injury to any of the participants in the seminar. I hereby acknowledge that I am assuming the risk and responsibility for any and all injuries suffered by me, or caused by third parties to me arising out of the practice of these martial arts, or during the use of any of the facilities available. I further acknowledge that I am responsible for providing my own personal health, medical, dental and accident insurance coverage. I hereby release the Ka Muso Kai, as well as all of its associated persons and organizations from liability for any injury or loss suffered by myself.