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Registration form
Surname
Name
Gender
E-mail
Phone
Dojo name
Teacher name
City
Country
Role
Practice from (Year)
Last kata learnt
Seminar fee: 120 €
BOARD AND LODGING
Room type
Beds left in 2-bed rooms: 1 (440.00 € per person)
Beds left in 3-bed rooms: 12 (400.00 € per person)
Beds left in 4-bed rooms: 0 (360.00 € per person)
Food restrictions
Food specifications (if other)
CULTURAL DAY
Pisa and S. Gervasio (50.00 € per person)
Lucca and Cave of Wind (40.00 € per person)
TRAVEL SCHEDULE
Arrival day
Arrival time (format hh:mm)
Arrival by
Need to be picked up at Pisa airport on July 29 (between 12:00 and 18:00)?
Departure day
Departure time (format hh:mm)
Departure by
Need to be dropped off at Pisa airport on August 5 (around 9:30)?
T-SHIRT
T-shirt size (female models are quite tight fit)
T-shirt type
Notes
TOTAL AMOUNT DUE
120.00 €
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You will receive an e-mail with your account and a summary of submitted data
You will be able to change your data until May 28, 2017