Online Registration Name : Phone : Email : Address : City : State : Zip : Rank(s) : Years Training? : Age : Gender : MaleFemale Dojo / Organization : T-Shirt Size : SmallMediumLargeX-LargeXX-Large Choose 2016 Camp Shotokan Package: Full Camp: July 7th to 10th (3 nights & 4 days) $475.00Guests (non- training . Food and Room) $300.004 Days, No Room (training and food) $400.002 Days (2 nights & 3 days) $420.00Guests (Room and Food) $250.002 Days, No Room (training and food) $350.001 Day (1 night & 2 days) $310.00Guests (Room and Food) $200.001 Day (Training and Food) $255.00 Classes Only: $70.00 per class. Add your number of selected classes to comment section below. See 2016 Camp Shotokan Informational PDF form for details. Note: Sorry, but we will need to charge a $40.00 late fee for all 1, 2, 3 & 4day registrations received after May 21, 2016. Register and Pay Early Please. Any other additional comments can be left below. Contact firstname.lastname@example.org or call 215.519.9310 with any questions, concerns or special requests. Again, Please Register Early! By intention, this isn’t a big camp and we pride our selves on maintaining a very low instructor/student ratio. Space is limited! Comments : I Agree to the Below listed Terms and Conditions regarding 2016 Camp Shotokan Participation. I the participant, do hereby volunteer my application for the attendance and participation in the ‘2016 AJKA-I Camp Shotokan in PA, USA’ and do hereby assume full responsibility for all injuries, damages, or losses that I may sustain or incur, if any, while attending/participating. I do hereby waive all claims against AJKA-I, the camp's host dojo, all listed or non-listed instructors and/or trainees, individually, collectively or otherwise, for any claims or injuries I may sustain. I fully understand that any medical treatment given to me will be first aid type only. I certify that I am in good health and without injuries or physical disabilities. I consent that any pictures furnished by me or taken of me in connection with the camp/seminar may be used for publicity, promotion, or television showing and I agree to waive compensation in regard thereto. I further agree to conduct myself with decorum in the spirit of Shotokan Karate-Do.