2017 Maryland Ki-Aikido Fall Training Camp

South Mountain Aikido’s Fall Seminar

Friday & Saturday, October 6th & 7th

 www.southmountainaikido.com

South Mountain Aikido (Frederick Ki Society), Maryland Ki Society (Montgomery County) and Howard County Ki Society are pleased to invite you to attend a weekend of Ki and Aikido in Frederick, Maryland.

Koichi Kashiwaya Sensei is one of the very few full-time Aikido professionals in the United States and travels extensively, teaching on behalf of Ki Society HQ, for the Midland Ki Federation dojo and other groups throughout the world. A major emphasis in his teaching is the development of the next generation of instructors and leaders for MKF and Ki Society.

 Friday Cost:  $70.00

Schedule: 10am to Noon

Lunch Break

2pm to 4pm

Saturday Cost: $70.00

Schedule:   9 to 11:30am

Lunch Break

2 to 4:00pm

(All aikido styles welcome to Saturday class)

Discount Price is for attending both sessions: $130.

Fees do not include meals and lodgings.  Inexpensive hotels are nearby. Book early because travelers are coming to the Frederick area for a major craft show that weekend.

Location: South Mountain Aikido Dojo

500 West Patrick Street (2nd Floor)

Frederick, Maryland  21701

Please mail the completed form and a check payable to FREDERICK KI SOCIETY (FKS) or SOUTH MOUNTAIN AIKIDO to:

  Joseph De Capua

1393 Crescent Spot Court

Frederick, MD 21703

If you have any questions, please call Joe De Capua on 301-514-3415 or joedecap@yahoo.com or Tom Mundell on 301-318-3812. You can also visit us on Facebook.

SOUTH MOUNTAIN AIKIDO SEMINAR

500 West Patrick Street

Frederick, MD  20701

NAME_______________________________________________    SEX     M____ F____

Print                first                   last

ADDRESS__________________________________________________________

Street                   City                         State                Zip

TELEPHONE __________________ EMAIL ADDRESS_______________________

NAME OF KI SOCIETY OR OTHER:

DOJO__________________________________________

 

Friday Only_______ Saturday Only _______.  Both Days ___________ (Please Check One)

Amount of Check enclosed: _______________

 

LIABILITY RELEASE

 IN CONSIDERATION OF MY BEING PERMITTED TO PARTICIPATE IN THE KI DEVELOPMENT AND KI-AIKIDO SUMMER SEMINAR LED BY KOICHI KASHIWAYA AND SPONSORED BY FREDERICK KI SOCIETY AND SOUTH MOUNTAIN AIKIDO, I DO HEREBY AGREE TO WAIVE AND RELEASE FROM ANY AND ALL LIABILITY AND TO HOLD HARMLESS THE FREDERICK KI SOCIETY AND SOUTH MOUNTAIN AIKIDO, MARYLAND KI SOCIETY AND HOWARD COUNTY KI SOCIETY, ITS OFFICERS, DIRECTORS, INSTRUCTORS AND ALL OTHER ATTENDEES FOR ANY AND ALL DAMAGES OR INJURIES OF ANY KIND WHATSOEVER WHICH MAY OCCUR OR RESULT FROM MY PARTICIPATION IN THIS SEMINAR.  I UNDERSTAND THAT THE SEMINAR DOES NOT INCLUDE HEALTH INSURANCE AND I ACCEPT FULL RESPONSIBILITY FOR ANY AND ALL MEDICAL EXPENSES THAT I MAY INCUR AS A RESULT OF MY PARTICIPATION IN THIS SEMINAR.

DATE: ____________SIGNATURE: ______________________________________

 

IF UNDER 18 YEARS OF AGE, SIGNATURE OF PARENT OR GUARDIAN:

DATE: ____________SIGNATURE: _____________________________________

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