AJKA-I USA Winter Seminar - January 14th, 2024 - Quakertown Pa

Name Name First Last
Age
Gender
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone

Please provide best phone number.
Email
Sensei/Dojo
Dojo Address
Dan Rank

Please provide current rank.
How will you be attending?:

How will you be attending?: Whole Camp Just Certain Days or Sessions Instructor Training Other Other
PLEASE READ:

After clicking the 'Submit & Pay' button below, you will be taken to a page where you will select an option based on how many days of the Winter Camp you will attend. Contact Avi at azoulay@ajkai-usa.com if the page does not appear or you have any other issues.