Seminar fees (50% discount if under 18. Please mark or circle as applicable.)

	Before September 5, 2003		After September 5, 2003
	Full payment (C$ / US$)	Deposit (C$ / US$)	Full payment (C$ / US$)
Fri & Sat	95 / 70	60 / 40	110 / 80
Fri & Sun	80 / 60	60 / 40	95 / 70
Fri, Sat & Sun	110 / 80	60 / 40	125 / 90

Payment enclosed: C$ / US$

Balance owing: C$ / US$

Waiver

I, the undersigned, request the privilege of being allowed to participate in the AIKIDO SEMINAR (hereafter called "Seminar") organized by TORONTO AIKIKAI (hereafter called "School") and taking place at the premises of the School on the above mentioned date. I understand that Aikido is a martial art involving strenuous exercise and physical contact. I further understand that neither the School nor the organizers of the Seminar offer any insurance or guarantee of any sort, nor subscribe to any insurance against injuries to the Seminar participants or damage to their property. In consideration of the privilege of being admitted to participate in the Seminar, of receiving the provided instruction and of using the School's facilities for the duration of the Seminar, I hereby declare that I am in good health and that I will personally assume all responsibility concerning any injury that I may incur or that may be inflicted on me by others during the Seminar, be it on or off the premises of the School, before, during, in between or after the sessions. I hereby hold immune and release the School, its directors, employees, agents and representatives, the organizers of the Seminar and the instructors of the Seminar from all responsibility, accountability and any reparations concerning personal injuries, lawsuits, damages, or losses of any nature whatsoever, in law or in equity, relative to the activities mentioned above. I hereby agree and engage, in my name and in the name of my heirs and beneficiaries, never to pursue, legally or in equity, the School, its directors, employees, agents and representatives, the organizers of the Seminar and the instructors of the Seminar in relation to such injuries, lawsuits, damages, responsibilities, accountabilities, reparations or losses. To attest to this, I have signed this document, and declare that I have read it and understand it. If participant is under eighteen (18) years of age, parent or guardian must sign below. As parent or guardian of the above applicant, I certify that I have read the above application and I consent to the applicant's receiving the instruction applied for, and I agree to the provisions of the contract for myself and said applicant. Name                                     Signature                                     Date

Dojo use      Payment:                      Received on:                     Processed by:                         Notes:

Instructions

Fill and sign this form, enclose payment and send to Toronto Aikikai. Please make cheques and money orders payable to Toronto Aikikai. To qualify for the pre-registration rates, we must receive your forms and payment by September 5, 2003. After that date, please register at the dojo. Do NOT send cash by mail. We regret that we can not offer refunds for any reason.