![Location:
Friday and Saturday:
Elkhorn Hills United Methodist Church
20227 Veterans Drive
Elkhorn, Nebraska 68022
Hotel:
Omaha Marriott, 10220 Regency Circle, Omaha, NE 68114
Phone: 800-228-9290.
Website: http://marriott.com/hotels/travel/omawe-omaha-marriott/
Ask for “Shudokan Seminars” to receive a discount.
Airport:
Ohama Eppley-OMA
Website: http://www.eppleyairfield.com/fids/default.htm
Ages Admitted:
Adults (16 and above only)
Kids (7-15)
Make checks or money orders payable to: SMAA
Send registration form & fee to: SMAA Seminar, PO Box 6022, Ann Arbor, MI 48106-6022
(Save this portion for your information and mail the form below.)
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2007 SMAA SEMINAR & CONFERENCE REGISTRATION FORM--PLEASE TYPE OR PRINT
NAME_________________________________________________________________________
ADDRESS (Street, City, State, Zip) ___________________________________________________
_______________________________________________________________________________
TELEPHONE & E-MAIL____________________________________________________________
Check one or more options below:
[ ] Japanese Yoga & Martial Arts for Kids (ages 7 - 15) with H.E. Davey—$20
[ ] Shin-shin-toitsu-do (Japanese Yoga) with H.E. Davey—$50 (All Classes)
[ ] Saigo Ryu with H.E. Davey—$50 (All Classes)
[ ] Bokken with Dave Lowry—$50 (All Classes)
[ ] Iaido with Nicklaus Suino—$50 (All Classes)
[ ] EVERYTHING! —$150 (SAVE $50!). Pay before July 1—$130
[ ] SMAA Member Discount! —Everything!—$120. Pay before July 1—$100.
This discount is only available to SMAA members who have paid 2007 annual dues.
[ ] Bokken (wooden sword)—$20 (only available to those who sign up and pay before July 1)
Total enclosed: $___________
Liability Waiver
I hereby certify that the above information is true and accurate. Further, I do hereby, for myself, my heirs, executors and administrators, waive release and forever discharge any and all rights and claims for damages which I may have or which may hereafter accrue to me against the Shudokan Martial Arts Association (SMAA), H. E. Davey, Dave Lowry, Nicklaus Suino, Heartland Family Karate, or their respective officers, agents, representatives, successors and/or assigns, for any and all damages which may be sustained and suffered by me in connection with my association with or entry in the Japanese yoga and/or martial arts activities associated with the 2007 SMAA Seminar & Conference and/or the Shudokan Martial Arts Association. In addition, by my signature, I certify I understand that submission of a completed application and the appropriate fee does not guarantee the awarding of requested rank and/or teaching title, or any rank and/or teaching title as the result of rank examinations at the 2007 SMAA Seminar & Conference.
DATE & SIGNATURE: ________________________________________________
(PARENT OR LEGAL GUARDIAN IF UNDER 18 YEARS OF AGE)
If you have trouble printing this page, click HERE to download the PDF Registration Form
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2007 SMAA Seminar & Conference - July 20, 21, 22, 2007 - Omaha, Nebraska
Registration Form: print this page and send the form below!
If you have trouble printing this page, click HERE to download the PDF Registration Form
Send registration
forms and fees to:
SMAA Seminar
PO Box 6022
Ann Arbor, MI 48106
Sunday:
St. Luke United Methodist Church
11810 Burke Street
Omaha, Nebraska 68154