Yamabushi Ryu - Application Form
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Application Form

I am interested in the Nami ryu Seminar with James Williams. I understrand that this is for people experienced in JSA. I am over the age of 18, and am willing to accept the risks inherent in this type of pursuit.

First Name Last Name

Street Address

City State Zip

Phone Number Email Address

 

Signature accepting waiver:_____________________________________

 

Please print this form and mail it, with your payment to:

Rick Robinson
River of Life Martial Arts and Wellness Center
321 Morris Road
Fort Washington, PA 19034

Thank you.

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