GOJU-RYU
KARATE-DO
INTERNATIONAL
Chief Instructor
James Rousseau 8th Dan
GKI is a member of MASA
(Martial Arts Standards Agency)

WINTER GASSHUKU 2012
CHELMSFORD

Please fill in the details below with the relevant payment and return it to your instructor by Friday 19th October 2012. - CHEQUES PREFERRED made out to GKI.
TRAINING FEES - tick relevant boxes
 ATTENDADULTUNDER 18UNDER 14CHILD
Friday 26th October @ £20.00 @ £12.00 @ £8.00 @ £8.00
Saturday 27th October @ £20.00 @ £12.00 @ £8.00 @ £8.00
Sunday 28th October @ £20.00 @ £12.00 @ £8.00 @ £8.00
All Days @ £50.00 @ £20.00 @ £15.00  
SAYONARA PARTY (Price Per Person: £15.00)
If you wish to order from the menu tick here and select your choice of food
Meal: Buffet
TRAINING AND ACCOMMODATION INFORMATION
Dojo:
Surname:
Forename:
E-Mail
Current Grade:
GRADING - Please see additional sheet for price information
* Registration fee will be returned if unsuccessful.
Grade Attempted Examination Fee Registration Fee Date of Last Grading
TOTAL MONIES ENCLOSED
Cheque:, Postal Order:, Cash:
Date: Signed:
Fill out the form on-line then print it off, sign it and give it, along with the payment, to your sensei.