CAMP KODENKAN SOUTH 2007

PLEASE SEND IN REGISTRATIONS FORMS BY NOVEMBER 9TH TO
Please make checks payable to Fudochi Dojo

FUDOCHI DOJO
1780 West Saddle Butte St.
Apache Junction, AZ 85220


Name__________________________________________

Address____________________________City______________State_______Zip______

Phone #(______)_____________________E-Mail_________________@_________

Dojo_____________________________ Rank_________
 
AJJF#____________________ (Must have # when arrive @ camp)

Vegetarian  Regular     Emergency Contact #____________________________

SpecialNeeds_____________________________________________________________

Arriving by?  Car  Plane   DO YOU NEED A RIDE?  Yes          No  

If So: Flight #______________Airline____________Arrival Time/Date________

Names of people traveling W/You __________________________________________

Departure Time/Date_______________________ Airline________________________

Fee $175.00
Fee W/T-Shirt $195.00
Fee W/Sweat-Shirt $210.00


# Of T-Shirts________Size__________ #of Sweat-Shirt__________Size_________
Available in S, M, L, XL, (XXL add $5)      ITEMS MUST BE PRE ORDERD