O-Sensei Memorial

20@MAC

MIDWEST AIKIDO CENTER4349 NORTH DAMEN AVE. 773.477.0123CHICAGO, ILLINOIS 60618 (FAX)773.477.0449WWW.AIKIDOMAC.ORG INFO@AIKIDOMAC.ORG

‘

All ranks welcome*

Seminar

Special Guest Instructor

Y.Yamada,ShihanChief Instructor and Technical Advisor,

United States Aikido Federation Chief Instructor, New York Aikikai

____________________________________________________

2020 Seminar ScheduleSaturday, April 25th1:00 – 2:00pm2:15 – 3:15pm3:30 – 4:30pm4:45pm - Dan Tests6:30pm - Dinner and Party at the dojo____________________________________________________

Sunday, April 26th10:00 – 11:00am11:15am – 12:15pm____________________________________________________

Both Days: $120Saturday Only: $100Sunday Only: $80

Complimentary Dinner served at the dojo:Saturday at 6:30pmRegister at www.aikidomac.org*All aikidoists 16 years old or older may practice. All affiliationswelcome.

O-Sensei Memorial Seminar ‘20@MAC

MIDWEST AIKIDO CENTER4349 NORTH DAMEN AVE. 773.477.0123CHICAGO, ILLINOIS 60618 (FAX)773.477.0449WWW.AIKIDOMAC.ORG INFO@AIKIDOMAC.ORG

Name: _________________________________________________________________________________________________

Address: _______________________________________________________________________________________________

_______________________________________________________________________________________________

Phone:______________________________________ Email:______________________________________

Dojo:__________________________________________________________________________________________________

Seminar Fees (please check your attendance plans and remit the amount indicated):

� Both days @ $120

� Saturday only @ $100

� Sunday only @ $80

________________ total � check enclosed or

� credit card (VISA or MasterCard: please bring your credit card to the seminar so we can finish your credit transaction; or register in advance using your credit card on our website: www.aikidomac.org.)

RELEASE and AGREEMENT NOT TO SUE FOR INJURIES

The Midwest Aikido Center (“Center”), its members, Instructors, guest instructors, or anyone else, are unwilling to have people practice Aikido onits premises if the Center, its members, Instructors or visiting instructors, or anyone else, might be sued for injuries that may happen to anyonewhile practicing in the Center (4349 North Damen Avenue, Chicago, Illinois) or for injuries that could occur, for any reason, anywhere on thepremises or on the way to or from the Center.

Therefore, we ask, in consideration and exchange for allowing you to practice at the Midwest Aikido Center and other good and valuableconsideration, the legal sufficiency of which is hereby acknowledged, on April 24-26, 2020 that you sign this document and by doing so give up anyrights you may have to sue or hold the Center, its members, Instructors or guest instructors, or anyone else, liable for any injuries which may occurto you caused by negligence or any other reason, while anywhere on the Center premises, including while on the mat and including while on theway to or from the Center.

I, (name)__________________________________________________________, the undersigned, have carefully read this document andunderstand it and in consideration and exchange for practicing Aikido at the Midwest Aikido Center on April 24-26, 2020 and in furtherconsideration as more fully stated above, give up any rights I may have to sue or hold liable the Center, its members, Instructors or guest instructorsor anyone else, for any injuries that may occur to me while practicing Aikido here or while anywhere on the Center premises or while going to orfrom the Center.

signed and dated: (date) ________________________________________________________________,

(signature)_____________________________________________________________.

IN CASE OF AN EMERGENCY, PLEASE NOTIFY:

Name:___________________________________________________________

Telephone #:______________________________________________________

Relationship to you:________________________________________________