dan · pdf fileterms and conditions sifu dan inosanto is the heir to bruce lee’s legacy...

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BRISBANE: Wynnum North State High School Hall Wynnum Road. Saturday 9th December 2006 9:00am to 12:00pm Sunday 10th December 2006 9:00am to 12:00pm TRAINING EQUIPMENT: Focus mitts, bag gloves, kali sticks, training knife Equipment will be available for purchase at the seminar. (You can also order equipment ahead of time and we will have it ready for you to pick up at the registration desk). SEMINAR DETAILS REGISTRATION FORM Progressive Martial Arts Academy Cookie Vassiliou 0412 400 836 www.progressivemartialarts.com.au CONTACT DETAILS For more information, call your local representative or check our web sites www.progressivemartialarts.com.au www.ninopilla.com Name Age Address Postcode Home Phone Work Phone Mobile Email PLEASE TICK: SYDNEY Thursday 7th Dec 2006 SYDNEY Friday 8th Dec 2006 BRISBANE Saturday 9th Dec 2006 BRISBANE Sunday 10th Dec 2006 CAIRNS Wednesday 13th Dec 2006 ADELAIDE Friday 15th Dec 2006 MELBOURNE Saturday 16th Dec 2006 MELBOURNE Sunday 17th Dec 2006 INOSANTO INSTRUCTORS CONFERENCE Saturday 9th -Tuesday 12th Dec 2006 Please return application form and payment to your seminar representative SEMINAR COSTS: 1 Day: $100, 2 Days: $180 Amount Enclosed $ Cash (if paying in person) or write Cheque or Money Order to V. Vassiliou. DAN INOSANTO 2006 AUSTRALIAN TOUR BIRTHDAY TOUR TH

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Page 1: DAN  · PDF fileTERMS AND CONDITIONS Sifu Dan Inosanto is the heir to Bruce Lee’s legacy of Jeet Kune Do and the only person ever to receive instructorship certification in Jeet

BRISBANE:

Wynnum North State High School HallWynnum Road.

Saturday 9th December 2006

9:00am to 12:00pm

Sunday 10th December 2006

9:00am to 12:00pm

TRAINING EQUIPMENT:

Focus mitts, bag gloves, kali sticks,training knife

Equipment will be available for purchase at the seminar. (You can also order equipment ahead of time and we will have it ready for you to pick up at the registration desk).

SEMINAR DETAILSREGISTRATION FORM

Progressive Martial Arts AcademyCookie Vassiliou0412 400 836www.progressivemartialarts.com.au

CONTACT DETAILS

For more information, call your local representative or check our web sites

www.progressivemartialarts.com.au

www.ninopilla.com

Name Age

Address

Postcode

Home Phone Work Phone

Mobile

Email

PLEASE TICK:

SYDNEY Thursday 7th Dec 2006

SYDNEY Friday 8th Dec 2006

BRISBANE Saturday 9th Dec 2006

BRISBANE Sunday 10th Dec 2006

CAIRNS Wednesday 13th Dec 2006

ADELAIDE Friday 15th Dec 2006

MELBOURNE Saturday 16th Dec 2006

MELBOURNE Sunday 17th Dec 2006

INOSANTO INSTRUCTORS CONFERENCE

Saturday 9th -Tuesday 12th Dec 2006

Please return application form and payment to

your seminar representative

SEMINAR COSTS:

1 Day: $100, 2 Days: $180

Amount Enclosed $

Cash (if paying in person) or

write Cheque or Money Order to V. Vassiliou.

BRISBANE:

Wynnum North State High School HallWynnum Road.

Saturday 9th December 2006

9:00am to 12:00pm

Sunday 10th December 2006

9:00am to 12:00pm

TRAINING EQUIPMENT:

Focus mitts, bag gloves, kali sticks,training knife

Equipment will be available for purchase at the seminar. (You can also order equipment ahead of time and we will have it ready for you to pick up at the registration desk).

SEMINAR DETAILSREGISTRATION FORM

Progressive Martial Arts AcademyCookie Vassiliou0412 400 836www.progressivemartialarts.com.au

CONTACT DETAILS

For more information, call your local representative or check our web sites

www.progressivemartialarts.com.au

www.ninopilla.com

Name Age

Address

Postcode

Home Phone Work Phone

Mobile

Email

PLEASE TICK:

SYDNEY Thursday 7th Dec 2006

SYDNEY Friday 8th Dec 2006

BRISBANE Saturday 9th Dec 2006

BRISBANE Sunday 10th Dec 2006

CAIRNS Wednesday 13th Dec 2006

ADELAIDE Friday 15th Dec 2006

MELBOURNE Saturday 16th Dec 2006

MELBOURNE Sunday 17th Dec 2006

INOSANTO INSTRUCTORS CONFERENCE

Saturday 9th -Tuesday 12th Dec 2006

Please return application form and payment to

your seminar representative

SEMINAR COSTS:

1 Day: $100, 2 Days: $180

Amount Enclosed $

Cash (if paying in person) or

write Cheque or Money Order to V. Vassiliou.

DAN INOSANTO2006 AUSTRALIAN TOUR

DAN INOSANTO2006 AUSTRALIAN TOUR

BIRTHDAY TOUR

TH

BIRTHDAY TOUR

TH

Page 2: DAN  · PDF fileTERMS AND CONDITIONS Sifu Dan Inosanto is the heir to Bruce Lee’s legacy of Jeet Kune Do and the only person ever to receive instructorship certification in Jeet

TERMS AND CONDITIONS

Sifu Dan Inosanto is the heir toBruce Lee’s legacy of Jeet Kune Do and the only person ever to receive instructorship certification in Jeet Kune Do personally from Bruce Lee.

From 1964 to 1973, Sifu Inosanto was Bruce Lee’s private student, sparring partner, training partner and chief instructor of the Chinatown JKD School in Los Angeles.

Sifu Inosanto will teach Jun Fan Gung Fu (kickboxing, trapping and locking). He will also teach Filipino Kal i and var ious systems of Malaysian, Phillipine and Indonesian Silat (Maphilindo Silat).

He will show the drills, techniques and applications of both empty hand and weapons.

Take advantage of this opportunity to train with the legendary Dan Inosanto and experience first hand his skill, grace and incredible wealth of knowledge spanning countless styles of martial arts.

SIFU DAN INOSANTO

Plea

se c

ut a

nd r

etur

n w

ith

paym

ent

PLEASE READ THE FOLLOWING CAREFULLY1.I, the undersigned acknowledge that I have applied to voluntarily participate in the Dan Inosanto Seminar.2.I am aware that participating in the practice of Jun Fan Gung Fu/Jeet Kune Do/Maphilindo Silat/Filipino Martial Arts, learning, training and observing the practice of Jun Fan Gung Fu/ Jeet Kune Do/Maphilindo Silat/Filipino Martial Arts, and/or any other martial arts form that may be demonstrated, practiced or taught during the Dan Inosanto Seminar may be a dangerous undertaking and in undertaking any such activities I do so at my own risk.3.I am also aware that it is a condition of admission to the Dan Inosanto Seminar, that the Nino Pilla International Academy of Martial Arts Pty Ltd, the Progressive Martial Arts Academy, their directors, instructors, members, servants or agents together with the Inosanto Academy, its directors, servants or agents and the Dan Inosanto Seminar Sponsors are absolved from any liability howsoever arising from injury or damage howsoever caused (whether fatal or otherwise) arising out of participating in the Dan Inosanto Seminar, including learning, training and observing the practice of Jun Fan Gung Fu/ Jeet Kune Do/Maphilindo Silat/Filipino Martial Arts and/or any other martial arts form that may be demonstrated, practiced, taught or observed during the Dan Inosanto Seminar, or in any way whatsoever due to any negligent act, breach of duty, default and/or omission on the part of the Nino Pilla International Academy of Martial Arts Pty Ltd, the Progressive Martial Arts Academy, their directors, instructors, members, servants or agents, or on the part of the Inosanto Academy, its directors, instructors, members, servants or agents or on behalf of the Dan Inosanto Seminar Sponsors.4.I am also aware that any person practicing, learning, training or observing Jun Fan Gung Fu/ Jeet Kune Do/Maphilindo Silat/Filipino Martial Arts and/or participating, learning, training or observing any other form or martial arts or any activity whatsoever carried out during the Dan Inosanto Seminar are only allowed to do so on the distinct understanding that they do so at their own risk.5.I acknowledge and am aware that participation in the Dan Inosanto Seminar may involve extremely strenuous physical activity and to consult my doctor if I have any physical condition or impairment that may prevent me from fully participating in the Dan Inosanto Seminar before commencing and undertaking such activity. I hereby represent that, to the best of my knowledge, I am in good physical health and condition, sufficient to undertake all activities and practices during the Dan Inosanto Seminar.6.I understand that during the Dan Inosanto Seminar no photographs may be taken, and audio and video recording is strictly prohibited without prior express written consent of the Dan Inosanto Seminar Sponsors or Inosanto Academy. In addition, should I obtain prior written permission to take photographs; I agree that such photographs shall only be used by me and by no one else, for my own personal use and not for commercial gain or for any other purpose.

I, of(Your name or that of a parent/guardian if under 18years)

(Address) DO HEREBY ACKNOWLEDGE that of my own free will and desire I submit my application to participate in the Dan Inosanto Seminar for instruction and training in martial arts (Jun Fan Gung Fu/Jeet Kune Do/Maphilindo Silat/Filipino Martial Arts) activities mentioned above and that I have read and understood the warning in paragraph 5 above.Signed by the said

(Signature)

In the presence of

(Name of witness) (Signature of witness)

TERMS AND CONDITIONS

Sifu Dan Inosanto is the heir toBruce Lee’s legacy of Jeet Kune Do and the only person ever to receive instructorship certification in Jeet Kune Do personally from Bruce Lee.

From 1964 to 1973, Sifu Inosanto was Bruce Lee’s private student, sparring partner, training partner and chief instructor of the Chinatown JKD School in Los Angeles.

Sifu Inosanto will teach Jun Fan Gung Fu (kickboxing, trapping and locking). He will also teach Filipino Kal i and var ious systems of Malaysian, Phillipine and Indonesian Silat (Maphilindo Silat).

He will show the drills, techniques and applications of both empty hand and weapons.

Take advantage of this opportunity to train with the legendary Dan Inosanto and experience first hand his skill, grace and incredible wealth of knowledge spanning countless styles of martial arts.

SIFU DAN INOSANTO

Plea

se c

ut a

nd r

etur

n w

ith

paym

ent

PLEASE READ THE FOLLOWING CAREFULLY1.I, the undersigned acknowledge that I have applied to voluntarily participate in the Dan Inosanto Seminar.2.I am aware that participating in the practice of Jun Fan Gung Fu/Jeet Kune Do/Maphilindo Silat/Filipino Martial Arts, learning, training and observing the practice of Jun Fan Gung Fu/ Jeet Kune Do/Maphilindo Silat/Filipino Martial Arts, and/or any other martial arts form that may be demonstrated, practiced or taught during the Dan Inosanto Seminar may be a dangerous undertaking and in undertaking any such activities I do so at my own risk.3.I am also aware that it is a condition of admission to the Dan Inosanto Seminar, that the Nino Pilla International Academy of Martial Arts Pty Ltd, the Progressive Martial Arts Academy, their directors, instructors, members, servants or agents together with the Inosanto Academy, its directors, servants or agents and the Dan Inosanto Seminar Sponsors are absolved from any liability howsoever arising from injury or damage howsoever caused (whether fatal or otherwise) arising out of participating in the Dan Inosanto Seminar, including learning, training and observing the practice of Jun Fan Gung Fu/ Jeet Kune Do/Maphilindo Silat/Filipino Martial Arts and/or any other martial arts form that may be demonstrated, practiced, taught or observed during the Dan Inosanto Seminar, or in any way whatsoever due to any negligent act, breach of duty, default and/or omission on the part of the Nino Pilla International Academy of Martial Arts Pty Ltd, the Progressive Martial Arts Academy, their directors, instructors, members, servants or agents, or on the part of the Inosanto Academy, its directors, instructors, members, servants or agents or on behalf of the Dan Inosanto Seminar Sponsors.4.I am also aware that any person practicing, learning, training or observing Jun Fan Gung Fu/ Jeet Kune Do/Maphilindo Silat/Filipino Martial Arts and/or participating, learning, training or observing any other form or martial arts or any activity whatsoever carried out during the Dan Inosanto Seminar are only allowed to do so on the distinct understanding that they do so at their own risk.5.I acknowledge and am aware that participation in the Dan Inosanto Seminar may involve extremely strenuous physical activity and to consult my doctor if I have any physical condition or impairment that may prevent me from fully participating in the Dan Inosanto Seminar before commencing and undertaking such activity. I hereby represent that, to the best of my knowledge, I am in good physical health and condition, sufficient to undertake all activities and practices during the Dan Inosanto Seminar.6.I understand that during the Dan Inosanto Seminar no photographs may be taken, and audio and video recording is strictly prohibited without prior express written consent of the Dan Inosanto Seminar Sponsors or Inosanto Academy. In addition, should I obtain prior written permission to take photographs; I agree that such photographs shall only be used by me and by no one else, for my own personal use and not for commercial gain or for any other purpose.

I, of(Your name or that of a parent/guardian if under 18years)

(Address) DO HEREBY ACKNOWLEDGE that of my own free will and desire I submit my application to participate in the Dan Inosanto Seminar for instruction and training in martial arts (Jun Fan Gung Fu/Jeet Kune Do/Maphilindo Silat/Filipino Martial Arts) activities mentioned above and that I have read and understood the warning in paragraph 5 above.Signed by the said

(Signature)

In the presence of

(Name of witness) (Signature of witness)