Untitled - Okinawa Karate Of Twinsburg

Seminar Details
Date, Time & Cost:
Saturday February 23, 2013
Seminar Begins at: 12:30pm – 4:30pm Doors open at:11:30am
Seminar Topic
Koryu (Old Style) Tokumine No Kun
Seminar Instructor
Heidi Gauntner,
Isshinryu Karatedo (Kyoshi / 7 th Dan)
Ryukyu Kobujutsu (4 th Dan)
Location:
Kent Karate & Family Fitness
1154 W. Main St.
Kent, Ohio, 44240
(330) 221-0295 / www.martialpeace.com
Hosted By:
The Ryukyu Kobujutsu Kenkyukai
Heidi Gauntner, (Kaicho)
Okinawa Isshinryu Karatedo
(Kyoshi / 7 th Dan)
Ryukyu Kobujutsu (Sensei / 4 th Dan)
Seminar Fee
Non-Kenkyukai Members
$35.00 seminar fee only
Kenkyukai Member Price (be sure to
have your patch on your gi)
$25.00 seminar fee only
(please make checks payable to
Brandon L. Fisher)
If you need a bo please contact us no later than 10 days prior and we will be sure
to have one for you on the day of the seminar. We can get bo’s in 4ft, 4.5ft, 5ft,
5.5ft, and 6ft in height. Cost per bo is: $25.00
Upcoming Seminar
Look for our next seminar of the series in Spring 2013
This seminar is good for anyone interested in traditional Ryukyu Kobujutsu
(Okinawa Weaponry)

Registration Form
Name:________________________________________________________________
Address:_____________________________________________ Apt / Ste #:_______
City:_____________________________ St:_______ Zip:_____________________
Phone: (_______)_____________-_____________________________
Dojo Information
Name:______________________________________________________
Address:_____________________________________________ Apt / Ste #:_______
City:_____________________________ St:_______ Zip:_____________________
Phone: (_______)_____________-_____________________________
Instructors Name:__________________________________________________
Style:____________________________________________________________
Are you ranked in Kobudo / Kobujutsu separately from Karate: ____ Yes _____No
Please choose one:
_____Kenkyukai Member Price $25.00 _____Non-Kenkyukai Member Price $35.00
WAIVER: I understand that the practice of Karate and Kobudo, and specifically, seminar participation, is inherently
a contact sport, and as such, I know that physical injury can occur. As consideration for being allowed to
participate in this seminar, I hereby assume all responsibility for any and all risk of damage or injury that may occur
as a participant in this seminar. Specifically, I agree to release and will hold harmless and fully indemnify for any
claims which might arise, the Isshinryu Karate Academy, LLC. dba. Kent Karate and Family Fitness and any persons
affiliated with this seminar in any way from any and all claims or causes of action on account of any injury which
may occur from my participation in the Ryukyu Kobujutsu Kenkyukai Kama Seminar with Sensei Brandon L. Fisher.
By signing this document, I acknowledge that I have read the rules and agree to abide by them and assume full
responsibility for any and all my actions during this tournament. If under the age of 18 years, a parent or legal
guardian must also sign this waiver.
Signature of Parent or Legal Guardian: ____________________________________________________
Signature of Participant:________________________________________________________________
Date: ____________/________________/_________________