2014 kokondo national seminar reg form
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Transcript of 2014 kokondo national seminar reg form
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Please join our Kokondo Kaicho as well as other master and senior instructors for a special weekend of Kokondo martial arts training. This year, heavy emphasis will be placed on Kumite for both Jukido Jujitsu and Karate.
Improve your knowledge and skills in the fundamentalsof kumite and how it relates to accurate and comprehensiveSelf-Defense!
Topics Include for both Jukido and Karate• One-on-one partnership drills
• Sanbon & ippon kumite training
• Kiso kumite (structured from kata) with emphasis on combining multiple kata bunkai applications
• Elective jiyu kumite tournaments - with control and accuracy
• Jukido randori shiai with striking and submissions
The theme of the seminar is kumite with emphasis how it relates to accurate and comprehensive Self-Defense!
KUMITETRAINING20
14 K
okon
do N
atio
nal S
emin
ar
July 24th - 26th
Hartford/Windsor Marriott28 Day Hill RoadWindsor, Connecticut
When & Where
Register Now www.kokondo2014.eventbrite.com
July 24-26thRegister for 1 or 2 sessions
See attached seminar registration form for details
For more information or questions contact Robert Sensei at e: [email protected] c: 860.209.4599 b: 860.656.6797
This Will Be A Fist-Full of Fun!Hey kids don’t miss this exciting event. An
AWSOME time for all.
Starting at
$75.00
KIDS AGES 6-11
2-WAYS TO CHOOSE
KUMITETRAINING20
14 K
okon
do N
atio
nal S
emin
ar
COMMUTER (Age 12 and up)• Over 15 hours of training• Individualized access to Kaicho, masters and
senior sensei• Lavish training facility located in the 7500 sq ft
Windsor Ballroom for up to 700 guests• Unlimited water supply during training• Lunch and Dinner on Friday and Saturday• Ceremonial banquet including participation
certificate and entertainment• Seminar T-Shirt• Commemorative Group Photo• All meeting and breakout rooms are air
conditioned• Access to showers and laundry• KMT eligibility
RESIDENTS (Age 12 and up) Includes everything above plus:• Breakfast on Friday and Saturday• Sunday Morning Continental Breakfast• Transportation to Bradley International Airport,
Windsor Locks, CT• Luxurious Guest Rooms featuring Marriott
Revive® bedding, for ultimate comfortRoom Features
• Single room featuring 2-double beds or 1 king size bed
• 325sqft/29sqm• Air-conditioned• Housekeeping service daily• Plug In Panel connects laptop, MP3 player,
DVD player & video game player to 32" LCD HDTV
• Business amenities include large work area, high-speed wireless Internet, two-line phones, voicemail
• In-room dining available from onsite restaurant, RiverCity Grille & Lounge, a Hartford favorite
• High-speed internet access throughout hotel• Fitness Center access including use of
cardiovascular equipment and indoor swimming pool
Karate & Jukido Session Include• Kumite (grappling hands) Emphasis• Damaging the opponent and not point
“performance”• Ippon• Sanbon• kiso• jiyu
• Kata & Kumite - The inseparable bond• Keri for Kumite - Just for kicks!• “Zen” Kumite
• Overcoming fears• Hojo Undo; supplementary training• Mushin for Jushin• 3rd Party Defense Strategies Kids
✴Hands off✴Tameshi wari✴Kids helping kids✴Analog kid in a digital world!✴Don’t be square✴Over Easy
...and so much more!
KIDS SESSION (age 6-11)• Up to 6 hours of training• Individualized Access to Kaicho, masters and
senior senseis • Lavish training facility located in the 7500 sq
ft Windsor Ballroom for up to 700 guests. • Unlimited water supply during training • Lunch on Friday and/or Saturday • Access to ceremonial banquet including
participation certificate and entertainment • Seminar T-Shirt • Commemorative Group Photo • Secured training area for unauthorized
access • Children MUST be dismissed to
AUTHORIZED guardian
for Registration is July 15thDeadline
PAYMENT INFORMATION
Name on Card:_________________________
Card Type (select one) Card #:_______________________________ EXP:________ CVV:_______ SIGN:_________________________________ MAKE CHECKS PAYABLE TO: House of Kokondo LLC
2014 KOKONDO NATIONAL SEMINAR REGISTRATION FORM – July 24th 25th 26th
LAST NAME:_________________________________ FIRST NAME:________________________________ MIDDLE:____________
ADDRESS:___________________________________________________________________________ APT:___________________
CITY:___________________________________________ STATE:___________ ZIP:________________ COUNTRY:_____________
HOME TEL:_________________________ CELL:_________________________ EMAIL:____________________________________
OTHER TEL:_________________________DOB:_______________ Age:________ MINOR (Y/N):________ VETERAN (Y/N):________
KOKONDO SCHOOL NAME:_____________________________ MY INSTUCTOR:________________________ DOJO HEAD (Y/N):____
CITY:___________________________________________ STATE:___________ ZIP:________________ COUNTRY:______________
KARATE RANK/YEAR EARNED:_______________/______________ JUKIDO RANK/YEAR EARNED:_______________/_____________
Would you like to participate in: Jiyu Kumite? (Y/N):____ If Yes (Jukido / Karate):__________ Karate Kata Tounament? (Y/N):____
T‐Shirt Size (circle preference): Kids: M L / Adult: S M L XL XXL
ENTRY FORM AND TOURNAMENT REGISTRATION
code
Age 12 and older
Received byMay 15, 2014
Received byJune 15, 2014
Received byJuly 15, 2014
AR Adult Resident $425.00 $475.00 $495.00
AC Adult Commuter $295.00 $350.00 $375.00
K KMT $45.00 $55.00 $65.00
Age 6 to 11 1‐day 2‐day 1‐day 2‐day 1‐day 2‐day
CC Child Commuter $75.00 $100.00 $79.00 $109.00 $99.00 $125.00
Code REGISTRATION
FEE’S
AR $ Name of requested
roommate
AC $
K $
CC $
Extra Night Lodging Wednesday ‐ $110.00
$
SUBTOTAL $ ADDITIONAL BANQUET TICKETS
#______ x $45.00 Adult
$
#______ x $25.00 Child under 12
$
Extra Tee Shirt(s) #______ x $25.00
$
TOTAL ENCLOSED $
Arrival Airline
Arrival Date / Time
Departure Airline
Departure Date / Time
In consideration of being permitted to participate in the 2014 National Kokondo Seminar the
undersigned, for himself/herself, his/her personal representative, assigns, heirs and next of kin:
Hereby releases, waives discharges and covenants not to sue the 2014 National Kokondo
Seminar, International Kokondo Association, LLC, House of Kokondo LLC, instructors,
promoters, sponsors, participants, officials, rescue personnel, advertisers, landowners,
lessees, and permitees of the premises used to conduct the event and each of them and their
respective directors, officers, agents, and employees and all others whether listed herein by
name of category or neither, all for the purpose herein referred to as “Releases”, from all
liability to the undersigned, his personal representatives, assigns, heirs, and next of kin, for
any and all loss of damage, and any claim or demands therefore, on account of injury to the
personal or property of resulting death of the undersigned, arising of or related to the
undersigned’s participation to the event, whether caused by the negligence of the Releases or
otherwise.
Hereby acknowledges the risk of serious injury and/or death of property damage from participating in
the event. Each of the undersigned also expressly acknowledges that injuries received may be
compounded or increased by negligent rescue operations or procedures of the Releases’, all
of which are released and waived.
Herby acknowledges and agrees that he/she is fully aware of the risks an hazards in participating in
the event and hereby elects voluntarily to enter upon said premises and to participate
knowing the present condition and knowing that said condition may become more hazardous
and dangerous during the time that the undersigned is upon said Premises. The undersigned
also expressly acknowledges and agrees that he/she voluntarily assumes all risk of loss,
damage and/or injury that may be sustained by him/her or to any property of the
undersigned while in or upon premises.
I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY
UNDERSTAND ITS TERMS, UNSTERSTAND THAT I HAVE GIVEN UP SUBSTANCIAL RIGHTS BY SIGNING IT,
AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUR ANY INDUCEMENTMENT ASSURANCE OR
GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETE AND
UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY THE LAW.
Applicant’s Legal Signature:
______________________________________________DATE________________________
If Applicant is a Minor Parent or Guardian Legal Signature:
ROBERT E. ROBERT
26 HOOKER DRIVE
WEST HARTFORD, CT 06107