NICHIBUKAN NAGINATA
11th ANNUAL SEMINAR
& TAIKAI

Pre-Registration

Name: (required)

Address: (required)

Address2:

City: (required)

State/Province: (required)

Postal code/zip: (required)

Country:

Email: (required)

Telephone:

Member of a Naginata Federation? Which, if any?:

Naginata Rank/Experience:

Age:

Gender:

Full Time Student in :

Attending Friday(3/26/10):

Attending Saturday(3/27/10):

Competing Sunday(3/28/10):

Beginner Division

Jogeburi :

Strike Out:

Engi:

Advanced Division

Happoburi:

Strike Out :

Funahara Cup - Engi:

Kojin (individual): Danshi(men):

Joshi (women): :

Dantai (team) :