CAMP KODENKAN SOUTH

Please make checks payable to Robert Hudson

ROBERT HUDSON
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 $185.00