otis shotokan masters seminar series - the solebury … otis has practiced shotokan karate since...
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The Solebury Club
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AJKA-‐I USA
Shotokan Masters Seminar Series
In the tradition of AMAZING Training and learning, we present
Sensei Edmond Otis. Wealth of knowledge and experience from top instructor known worldwide will be presented in this
seminar at The Solebury Club. Please fill the form attached and submit as soon as possible.
Sunday 1/25/2015
Edmond Otis - 8th DAN AJKA-I International Chairman and Chief Instructor - North America Edmond Otis has practiced Shotokan karate since 1967, and is internationally known as a competitor, instructor, coach, and judge. He is acclaimed for his innovative and dynamic teaching style, and is considered by many to be one of the premier karate instructors of his generation. Sensei Otis currently divides his time between the US and New Zealand, and travels extensively for the AJKA-I, conducting seminars that focus on all aspects of karate practice. He directs the West Coast AJKA-I Instructor Training Program.
The Solebury Club
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AJKA-‐I USA
Sunday 9/25/15 10:00 am -10:55 am
Session 1 Youth Karate
Age 6 and above Yellow belt and above
$20.00
Sunday 9/25/15 11:00 – 12:00pm
Session 2 Adult / Youth
Competition Training Yellow belt and above
$45.00
Sunday 9/25/15 12:30 pm – 2:00 pm
Session 3 Adults
13 yrs. & older Yellow belt and above
$45.00
Sunday 9/25/15 2:00 pm – 3:00 pm
Session 4 Adults
Elite Instructor Training
$30.00
Please circle the session you will attend and submit the registration form with check / cash payable to:
AJKA of PA.
Space is limited – reserve yours now!
*** Sorry, no Club Charges for this event.
The Solebury Club
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AJKA-‐I USA
Shotokan Masters Seminar Series REGISTRATION
Name:___________________________________________Age:______Gender:______
Address_______________________________________________________________
Home/cell #_____________________Email Address _________________________
Sensei/Dojo__________________________Rank ________ Registration Total: $_________
Dojo Address____________________________________________________________
I, the undersigned do herby volunteer my application for the attendance and participation in the 2015 Shotokan Masters Seminar Series, 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 of PA, Solebury Club LLC, individually 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 seminar can be used for publicity, promotion, or television showing and waive compensation in regard thereto. I further agree to conduct myself with decorum in the spirit of Karate-‐Do.
Signature………………………………………………………………………Date…..................
Parent/Guardian (under 18)……………………………………………………………………….
Please e-mail all applications to us for early processing.
The Solebury Club. PO Box 819
4612 Hughesian Dr, Buckingham PA 18912 Ph: 215-794-3494
Email: [email protected]