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Mountain Training 2018 - Training Registration Form

Full payment must accompany the registration. Numbers are strictly limited and registration closes 15th Oct.

Registrar: Diana Hope
e-mail: diana.s.hope@gmail.com
mobile: 0439 651 099

Registration Details:

(one per person, please register partners seperately)


First Name:


Last Name:


Email:


Phone:


Aiki-Kai (Australia) Membership Number:
('N/T' if not training)


Gender:

Female
Male

Are there specific people with whom you prefer to share a room? (Please specify)

Specify sharing a double bed with:

Payment Details:

full payment must accompany your registration.


Fee Type:

Full ($295)
Concession / First Time attendees ($245)
Instructor ($270)
Non Aikido Trainees ($205)

Payment Method:

Internet Payment

Account Name: Aiki-Kai Victoria
BSB: 063 225
Account Number 10049834

(Please email the registrar the reference of your payment)

Cheque

Payable to: Aiki-Kai Victoria
Address: Aiki-Kai Victoria Mountain Training
88 Union St, Brighton VIC, 3186

Arrival Time:

What is your estimated arrival time on Friday?

Car Pooling

Given the distance, car pooling is encouraged.

Are you willing to drive others to & from Mt Hotham?

Yes
No

If yes, how many people can you accommodate?

Where in Melbourne can you pick up & drop off people?

Dietary Preference


Vegetarian
Gluten Free
Vegan
Other (specify)