Entry Form

NOTE:
Demonstrators and exhibitors must wear rubber sole shoes or be barefoot on gymnasium floor, no hard sole shoes.
No sparring will be done at this expo 2 Man Sets are allowed Self-Defense demonstrations are allowed
PA system will be available so demonstrators can describe and make a verbal presentation of the style, techniques, etc., being demonstrated
No bad conduct or egos shall be exhibited at this event
Individuals engaged in conduct contrary to the spirit of the event will forfeit their attendance rights and will be asked to leave. All are to comport themselves in a respectful and dignified manner.
If you wish to make a presentation at this expo please contact Sifu Richard Mieir-King to see if we have time available for more demonstrations and/or workshops at the following e-mail address: rmieir@sprynet.com

Open to all Styles
Teachers welcome to demonstrate and/or teach a workshop (demos of 15 minutes please) (Workshops of 45 minutes to 1 hour please) If you wish to demo and/or teach please check with us in advance to insure availability of time slots. Teachers will receive a certificate of our appreciation for your participation
Schools Students welcome and encouraged to demonstrate and excellent opportunity to gain experience demonstrating and to show what your school and style are all about. Students will receive a certificate of appreciation and participation - no limit on amounts of students that can participate
Individuals welcome to demonstrate and participate
Demonstrate empty hand forms, weapons forms, 2 man forms or self defense techniques for the same cost, no extra charges for additional forms.
Cost of of participation in this event includes your demonstration of form(s), any workshops you wish to attend, and the raffle prizes
Participants must wear rubber sole shoes or be barefoot on expo floors, no hard sole shoes can be allowed.

Print This Form, Fill It Out Completely and mail to:
City of Lakewood
P.O.Box 158
Lakewood, CA 90714

Class #	Last Name, First Name of Participant	Age	Class Name	Day(s)		Time	Fee
4495			Martial Arts Expo	Sat.		9-5
4495			Martial Arts Expo	Sat.		9-5
4495			Martial Arts Expo	Sat.		9-5
4495			Martial Arts Expo	Sat.		9-5
4495			Martial Arts Expo	Sat.		9-5
4495			Martial Arts Expo	Sat.		9-5
					Total

Refunds are accepted if received before the second class meeting. There is a $5 administrative fee for refunds. I, the undersigned parent or guardian, do hereby agree to allow the individual(s) named herein to participate in the aforementioned activity(ies) and further agree to indemnify and hold harmless the City of Lakewood, its agents and employees from all harm, accident, personal injury or property damage which may be suffered in the aforementioned individual(s), arising out of, or in any way connected with participation in this activity.

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