Shotokan Karate Club
University of Washington, Seattle

15th Anniversary Celebration
May 25-26, 2002

Registration Form


Early registration deadline: Post-marked by May 20, 2002; thereafter a late fee of $5 (US or CAN) may be charged.

Cost
  - Practices on Sat and Sun, and dinner on Sat: US $30 or CAN $45.
  - Guests (dinner only): US $10 or CAN $15 for adults; $5 (US or CAN) for children.
  - Unranked white belts are invited to attend the practices for free. Dinner is still US $10 or CAN $15.

Checks should be made payable to Shotokan Karate Club at the UW. Please complete the form below and mail to:

   Jason Chien
   3108 W. Elmore St
   Seattle WA 98199
   206-284-6718

Name of attendee ______________________________________________
Name of dojo ______________________________________________
Rank of attendee ______________________________________________
Number of guests ______________________________________________
Contact phone number ______________________________________________
Email address ______________________________________________
Amount enclosed ______________________________________________
Would you like to stay with one of the UW dojo members
   Friday night?    yes / no                      Saturday night?    yes / no
Comments / suggestions ______________________________________________
______________________________________________