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12 th Annual Ryobu-Kai International Elite Karate Training Camp September 29-October 2, 2011 All events will be held at the Kansas City Marriott Country Club Plaza 4445 Main Street Kansas City, Missouri 64111 Telephone: 800-810-3708 or 816-531-3000 (Use JKR for special room rate $129.00+ tax/ night) Open to ALL KARATE PRACTITIONERS Principal Instructor: Sensei Kiyoshi Yamazaki, 8 th Dan For more information: Sensei Gerry Allen at (816) 822-4045 [email protected] www.jkrkansas.com

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Page 1: 12 th Annual Ryobu-Kai International Elite Karate Training ...jkrkansas.com/yahoo_site_admin/assets/docs/Elite_2011_Registration... · Yrs/Mos training in Karate: Birth date (MM/DD/YY)

12th Annual Ryobu-Kai International

Elite Karate Training Camp

September 29-October 2, 2011

All events will be held at the

Kansas City Marriott Country Club Plaza

4445 Main Street

Kansas City, Missouri 64111

Telephone: 800-810-3708 or 816-531-3000

(Use JKR for special room rate $129.00+ tax/ night)

Open to ALL KARATE PRACTITIONERS

Principal Instructor:

Sensei Kiyoshi Yamazaki, 8th Dan

For more information:

Sensei Gerry Allen at (816) 822-4045

[email protected]

www.jkrkansas.com

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Registration Form

12th Annual Ryobu-Kai

International Elite Karate

Training Camp

Print Last Name, First Name, M.I. Complete Mailing Address, City, State, Zip/Postal Code Phone Number (include country code if not USA): Email address: Martial Arts Organization: Karate Rank:

Yrs/Mos training in Karate:

Birth date (MM/DD/YY)

Item Fee If registering for a training package, please indicate the total package fee.

If registering for select sessions, please indicate sessions that you are registering for:

Combined total of all sessions:

Total

Please make checks payable to: JKR Kansas

Mail registrations to: JKR Kansas

6357 Brockway Shawnee, KS 66226

Waiver and Release

1. The undersigned states that he/she is in good health or has medical approval to engage in Martial Arts training, which is rigorous and involves physical contact. The undersigned agrees that the “Agencies” described below shall not be responsible for death or injuries of any kind to participants whether or not directly of indirectly caused by or attributable to any fault or negligence of any of the “Agencies” or of others.

2. The undersigned shall indemnify and save harmless the “Agencies” (meaning Nippon Budo Jinmukan, DojoMedia, Japan Karate-Do Ryobu-Kai, JKR Kansas, their agents, students, instructors, affiliates and employees) against all claims, loss and expenses which any of the “Agencies” may incur as the result of any claim or lawsuit made or instituted by or on behalf of the undersigned (and by or on behalf of any minor for which the undersigned has signed), including, without being limited to, any claim or lawsuit based upon the alleged fault or negligence of any of the “Agencies”.

3. The undersigned acknowledges that it has been explained to him/her and he/she understands that Martial Arts and other physical activity taught by the “Agencies” and engaged in by participants involve a risk of death or bodily injury. The undersigned freely assumes such risk and understands that he/she cannot hold the “Agencies” or others under their supervision or control liable for any death or injury that the undersigned may sustain while learning or practicing Martial Arts and other physical activity taught by the “Agencies” or when using any of their facilities or equipment, whether with or without a supervisor, by himself/herself, or with one or more fellow students.

4. The undersigned further releases all rights to any photos or videos taken during his/her training and makes no claim for compensation in regards to any use of such photos or videos.

Signature

Signature of Parent or Guardian, if minor Date

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12th Annual Ryobu-Kai International Elite Karate Training Camp

Fee Schedule

Age Category Individual Sessions Package

Adults ages 14 and up

$30.00/session any three sessions $75.00 $175.00 for entire weekend

Youths ages 6-14

$25.00/ session $40.00 for both youth sessions

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12th Annual Ryobu-Kai International Elite Karate Training Camp

Schedule of Events

Thursday, September 29th 1:00-2:15 Kata: Tai Sabaki Fundamentals, Sensei High 2:15-2:30 Break 2:30-3:45 Ippon Kumite, Sensei Braynen 3:45-4:00 Break 4:00-5:15 Kumite: Sen no Sen, Go no Sen, Sensei Mina Yamazaki 5:30-7:00 Youth Karate, Sensei Yamazaki 7:30 Dinner Friday, Aug 30th 9:00-10:30 Kata: Tai Sabaki Nidan, Sensei Yamazaki 10:30-10:45 Break 10:45-12:00 Self Defense, Sensei High 12:00-1:00 Lunch 1:00-2:00 Instructor Meeting 2:00-2:15 Break 2:15-3:15 Kata: Sochin, Sensei Kappes 3:15-3:30 Break 3:30-5:00 Kata: Heians 1-3, Bunkai, Sensei Braynen 5:00-5:30 Break 5:30-7:00 Dan Test 7:30 Dinner

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Saturday, October 1st 9:00-10:30 Youth Karate, Sensei Yamazaki 10:30-10:45 Break 10:45-12:00 WKF Kata: Seipai, Sensei Mina Yamazaki 12:00-1:00 Lunch 1:00-2:30 WKF Kata Rules/Training Techniques, Sensei Mina Yamazaki 2:30-4:00 WKF Kumite Rules/Training Techniques, Sensei Mina Yamazaki 4:00-4:15 Break 4:15-5:30 Kata: Heians 4-5, Sensei Braynen 5:40-6:40 Proper Karate Etiquette 7:45 Dinner Sunday, October 2nd (Training will take place on lawn of Nelson-Atkins Museum of Art weather permitting)

8:30 Meet at hotel for 2 block run to Nelson-Atkins Museum of Art (bos will be transported separately.)

9:00-10:30 Adult Karate, Sensei Yamazaki 10:30-10:45 Break 10:45-12:00 Kumi Bo, Sensei High 1:00-2:30 Golf with Sensei Yamazaki (please e-mail to reserve)