2010 World Karate Championships hosted by Purple Dragon

Seminar Registration

Name

Gender

Male
Female

Address

Martial Arts School

Martial Arts Style

Telephone No.

Interested In:

Traditional Japanese Martial Arts by Master Michael Komoto of Japan in the Art of Kendo
Traditional Japanese Goju Ryu Karate by Grand Master Don Warrener of Hollywood, USA
Eclectic Martial Arts by Sensei Patrick Chang of Jamaica and Professor Arthur Dennery of St. Croix
Self- Defense by Professor Robert Crosson of Brooklyn, NY USA
Don Jitsu Ryu by Sensei Daniel Jacob of Canada
Women's Self Defense by Sensei Nicole Thomas of Trinidad and Tobago

Agreement

I here by agree that Purple Dragon and its associates may use and edit in any manner they may see fit, the recording of my contribution at the 2010 World Karate Championships prior to and after. They may use my contribution for any purpose in this project, as they may in their absolute discretion see fit. I agree that they may use my contribution throughout the world, including by using it in whole or part in any publication, television broadcast or any other form of dissemination. I also release Purple Dragon and all other organizations involved in this martial arts tournament, of any loss of articles or injury I may sustain while attending or participating in any of the connected functions of the 2010 World Karate Championships

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