Professor Robert Hudson

CAMP KODENKAN SOUTH 2007

SEND IN FORMS BY 11/09/07 TO AVOID $10.00 LATE FEE
Download Text Registration Form

Please make checks payable to Fudochi Dojo
1780 West Saddle Butte St.
Apache Junction, AZ 85220

Name _________________________________________________________________

Address _______________________________________________________________

City _______________________________________State __________Zip__________

Phone __________________________Email_________________@_______________

Dojo __________________________________________Rank ___________________

AJJF # (must have # when arrive @ camp) ____________________________________

Vegetarian ___ Regular___ Emergency Contact #_______________________________

Special needs _________________________________________________________

Arriving by? Car ______ Airplane ______ Do you need a ride? Yes ______ No _______

If so: Airline _______________ Flight # ____________ Arrival Time/Date ___________

Names of people traveling w/you ___________________________________________

Departure Time/Date ________________________ Airline ______________________

Camp Fee $175.00

Fee W/t-shirt $195.00

Fee W/sweat-shirt $210.00

# of Shirts______T-Shirt Size_____ # of Sweat-Shirt _______Sweat Shirt Size________
Available in S, M, L, XL, (XXL add $5) *ITEMS MUST BE PRE-ORDERED