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March 4th thru 6th (Friday, Saturday and Sunday) 2011




DATE: MARCH 4th thru 6th, (Friday, Saturday and Sunday) 2011
LOCATION: Hodding Carter YMCA, Greenville, MS – (662) 335-7258
INSTRUCTOR: Mr. Takayuki Mikami

Chief Instructor JKA/All South Karate Federation Southern Region

Former National All Japan Champion

Former WKF Technical Committee Member

Representative in Pan American competition
ELIGIBILITY: Adults with 3 months of training – Children with at least 1 year of training
FEES: Pre-Registration: $ 90.00 – Fill out registration form and mail with full fee to:

ASKF Camp, 706-C Phosphor Avenue, Metairie, LA 70005. Must be received by February 24th

If you cannot attend, the fee will be refunded except for $10.00.

PLEASE DO NOT SEND your registration via Registered Mail. There is no one at the mailing address during

delivery hours to sign the delivery receipt.

At-Door: $ 100.00 – Fill out Registration form, present at Gym., Friday March 4th at 4:00 p.m.

Black belt Test: Register at the door, Friday March 4th at 4:00 PM.

Test fee: $ 80.00 First Dan - $ 100.00 Second Dan - $ 120.00 Third Dan

All testing for kyu rank above 3 need a current Membership card (2011). Fee: ($ 30.00)

Black and Brown belts must have a JKA passport and current membership 2011.
ACCOMMODATION: A REMINDER – Reserve early because of the Greenville casinos, weekends are crowded. Do not wait until the last minute. For this special rate, be sure to mention you are with the Karate Camp (code).

"No security provided at motels, don't leave anything you want to keep in your vehicle while in Greenville."

Hampton Inn - $109.00, 1155 VFW Road, (located at intersection of Hwy 1 SO, & VFW Road). Phone: 662.335.7515 

Regency Inn & Suites - $69.00, 3090 Hwy 82 East Greenville, MS - Phone 662.332.5800

Comfort Inn - $52.00, 137 Walnut Street, Greenville, MS - Foot of the levee near the casinos. Phone 662.332.0508

Econo Lodge - $47.00, 3080 Hwy 82 East Greenville, MS. Phone 662.378.4976

Friday March 4th 4:00-6:00 PM Check-in/registration for Camp & black belt test

6:00-8:00 PM Training - All ranks

Saturday March 5th 9:00-11:00 AM Training - All ranks

11:30AM Black belt test will follow immediately after training

4:00-6:00 PM Training – All ranks
Sunday March 6th 9:00-11:00 AM Training – All ranks

11:30-1:00 PM Kyu Test – for Greenville Karate Club

Members of other clubs may test with the permission of their instructor. Register at the Greenville YMCA Gym.


Make check payable to ASKF and mail to:

ASKF Camp – 706C PHOSPHOR Avenue – Metairie, LA 70005

NAME_______________________________________________ PHONE____________________
CLUB________________________________________________ RANK ____________AGE_____

In consideration for participation, training and instruction, the undersigned hereby specifically relieves, releases and discharges the ASKF and any other person, firm, corporation or association from any and all liability or claims of whatever nature or kind which may arise in connection with the said participation, training, or instruction.

DATE: ________________________________________________________________________
SIGNED: ______________________________________________________________________
SIGNED: ______________________________________________________________________

(Parent or guardian if participant a minor under 18 years of age)

$ 90.00 If mailed February 24th postmarked). $ 100.00 after or at the door.


Total Received $_____________________


Received by________________________

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