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Minneapolis November Seminar
Registration Form
November 4-6, 2011
 

Photo by Steve Rouch

Sensei Fusaro's Minneapolis Seminar Midwest Karate Association-Mpls. 1940 Hennepin Avenue Minneapolis, MN  55403 Participation Fee:        $140 for entire seminar* ($90 for single session) *$20 discount if prepaid by November 3, 2011. Individual workshop classes and family pricing are  available, contact Sensei at 612-870-1795

Schedule:

Fri.	Sat.	Sun.
1 - 3 pm    Workout session 6:30 - 8:30 pm   Workshop	9 - 12:00 noon   Workshop 2 - 5 pm   Workshop 5 pm   Dan Exam	8  - 11 am   Workshop

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Midwest Karate Association
1940 Hennepin Avenue, Minneapolis, MN  55403

Name ______________________________________ Rank________________
Address _____________________________________ State/Zip ____________
Phone _______________________________________ Dojo _______________
Sessions attending _________________
Amount Enclosed ___________________