dan inosanto dan inosanto

REGISTRATION FORM
SEMINAR DETAILS
BRISBANE:
Name
Age
DAN INOSANTO
2006 AUSTRALIAN TOUR
Wynnum North State High School Hall
Wynnum Road.
Address
Saturday 9th December 2006
Postcode
Home Phone
Work Phone
9:00am to 12:00pm
Sunday 10th December 2006
9:00am to 12:00pm
Mobile
Email
TRAINING EQUIPMENT:
PLEASE TICK:
SYDNEY
Thursday 7th Dec 2006
SYDNEY
Friday 8th Dec 2006
BRISBANE
Saturday 9th Dec 2006
BRISBANE
Sunday 10th Dec 2006
CAIRNS
Wednesday 13th Dec 2006
ADELAIDE
Friday 15th Dec 2006
Focus mitts, bag gloves, kali sticks,
training knife
Equipment will be available for purchase at
the seminar. (You can also order equipment
ahead of time and we will have it ready for
you to pick up at the registration desk).
MELBOURNE Saturday 16th Dec 2006
MELBOURNE Sunday 17th Dec 2006
INOSANTO INSTRUCTORS CONFERENCE
Saturday 9th -Tuesday 12th Dec 2006
Please return application form and payment to
your seminar representative
SEMINAR COSTS:
1 Day: $100, 2 Days: $180
Amount Enclosed $
Cash (if paying in person) or
write Cheque or Money Order to V. Vassiliou.
For more information, call your local
representative or check our web sites
CONTACT DETAILS
www.progressivemartialarts.com.au
Progressive Martial Arts Academy
Cookie Vassiliou
0412 400 836
www.ninopilla.com
www.progressivemartialarts.com.au
REGISTRATION FORM
SEMINAR DETAILS
BRISBANE:
Name
Age
TH
BIRTHDAY TOUR
DAN INOSANTO
2006 AUSTRALIAN TOUR
Wynnum North State High School Hall
Wynnum Road.
Address
Saturday 9th December 2006
Postcode
Home Phone
Work Phone
9:00am to 12:00pm
Sunday 10th December 2006
9:00am to 12:00pm
Mobile
Email
TRAINING EQUIPMENT:
PLEASE TICK:
SYDNEY
Thursday 7th Dec 2006
SYDNEY
Friday 8th Dec 2006
BRISBANE
Saturday 9th Dec 2006
BRISBANE
Sunday 10th Dec 2006
CAIRNS
Wednesday 13th Dec 2006
ADELAIDE
Friday 15th Dec 2006
Focus mitts, bag gloves, kali sticks,
training knife
Equipment will be available for purchase at
the seminar. (You can also order equipment
ahead of time and we will have it ready for
you to pick up at the registration desk).
MELBOURNE Saturday 16th Dec 2006
MELBOURNE Sunday 17th Dec 2006
INOSANTO INSTRUCTORS CONFERENCE
Saturday 9th -Tuesday 12th Dec 2006
Please return application form and payment to
your seminar representative
SEMINAR COSTS:
1 Day: $100, 2 Days: $180
Amount Enclosed $
Cash (if paying in person) or
write Cheque or Money Order to V. Vassiliou.
For more information, call your local
representative or check our web sites
CONTACT DETAILS
www.progressivemartialarts.com.au
Progressive Martial Arts Academy
Cookie Vassiliou
0412 400 836
www.ninopilla.com
www.progressivemartialarts.com.au
TH
BIRTHDAY TOUR
TERMS AND CONDITIONS
PLEASE READ THE FOLLOWING CAREFULLY
SIFU DAN INOSANTO
1. I, the undersigned acknowledge that I have applied to voluntarily
participate in the Dan Inosanto Seminar.
2. I am aware that participating in the practice of Jun Fan Gung Fu/Jeet
Kune Do/Maphilindo Silat/Filipino Martial Arts, learning, training and
observing the practice of Jun Fan Gung Fu/ Jeet Kune Do/Maphilindo
Silat/Filipino Martial Arts, and/or any other martial arts form that may
be demonstrated, practiced or taught during the Dan Inosanto Seminar
may be a dangerous undertaking and in undertaking any such activities
I do so at my own risk.
3. I am also aware that it is a condition of admission to the Dan Inosanto
Seminar, that the Nino Pilla International Academy of Martial Arts Pty
Ltd, the Progressive Martial Arts Academy, their directors, instructors,
members, servants or agents together with the Inosanto Academy, its
directors, servants or agents and the Dan Inosanto Seminar Sponsors
are absolved from any liability howsoever arising from injury or damage
howsoever caused (whether fatal or otherwise) arising out of participating
in the Dan Inosanto Seminar, including learning, training and observing
the practice of Jun Fan Gung Fu/ Jeet Kune Do/Maphilindo Silat/Filipino
Martial Arts and/or any other martial arts form that may be demonstrated,
practiced, taught or observed during the Dan Inosanto Seminar, or in
any way whatsoever due to any negligent act, breach of duty, default
and/or omission on the part of the Nino Pilla International Academy of
Martial Arts Pty Ltd, the Progressive Martial Arts Academy, their directors,
instructors, members, servants or agents, or on the part of the Inosanto
Academy, its directors, instructors, members, servants or agents or on
behalf of the Dan Inosanto Seminar Sponsors.
4. I am also aware that any person practicing, learning, training or
observing Jun Fan Gung Fu/ Jeet Kune Do/Maphilindo Silat/Filipino
Martial Arts and/or participating, learning, training or observing any other
form or martial arts or any activity whatsoever carried out during the
Dan Inosanto Seminar are only allowed to do so on the distinct
understanding that they do so at their own risk.
5. I acknowledge and am aware that participation in the Dan Inosanto
Seminar may involve extremely strenuous physical activity and to consult
my doctor if I have any physical condition or impairment that may prevent
me from fully participating in the Dan Inosanto Seminar before commencing
and undertaking such activity. I hereby represent that, to the best of my
knowledge, I am in good physical health and condition, sufficient to
undertake all activities and practices during the Dan Inosanto Seminar.
6. I understand that during the Dan Inosanto Seminar no photographs
may be taken, and audio and video recording is strictly prohibited without
prior express written consent of the Dan Inosanto Seminar Sponsors or
Inosanto Academy. In addition, should I obtain prior written permission
to take photographs; I agree that such photographs shall only be used
by me and by no one else, for my own personal use and not for commercial
gain or for any other purpose.
Sifu Dan Inosanto is the heir to
Bruce Lee’s legacy of Jeet Kune Do
and the only person ever to receive
instructorship certification in Jeet
Kune Do personally from Bruce Lee.
From 1964 to 1973, Sifu Inosanto
was Bruce Lee’s private student,
sparring partner, training partner
and chief instructor of the Chinatown
JKD School in Los Angeles.
Sifu Inosanto will teach Jun Fan
Gung Fu (kickboxing, trapping and
locking). He will also teach Filipino
Kali and various systems of
Malaysian, Phillipine and Indonesian
Silat (Maphilindo Silat).
He will show the drills, techniques
and applications of both empty hand
and weapons.
Please cut and return with payment
Take advantage of this opportunity
to train with the legendary Dan
Inosanto and experience first hand
his skill, grace and incredible wealth
of knowledge spanning countless
styles of martial arts.
I,
of
(Your name or that of a parent/guardian if under 18years)
(Address)
DO HEREBY ACKNOWLEDGE that of my own free will and desire I
submit my application to participate in the Dan Inosanto Seminar for
instruction and training in martial arts (Jun Fan Gung Fu/Jeet Kune
Do/Maphilindo Silat/Filipino Martial Arts) activities mentioned above and
that I have read and understood the warning in paragraph 5 above.
Signed by the said
(Signature)
In the presence of
(Name of witness)
(Signature of witness)
TERMS AND CONDITIONS
PLEASE READ THE FOLLOWING CAREFULLY
SIFU DAN INOSANTO
1. I, the undersigned acknowledge that I have applied to voluntarily
participate in the Dan Inosanto Seminar.
2. I am aware that participating in the practice of Jun Fan Gung Fu/Jeet
Kune Do/Maphilindo Silat/Filipino Martial Arts, learning, training and
observing the practice of Jun Fan Gung Fu/ Jeet Kune Do/Maphilindo
Silat/Filipino Martial Arts, and/or any other martial arts form that may
be demonstrated, practiced or taught during the Dan Inosanto Seminar
may be a dangerous undertaking and in undertaking any such activities
I do so at my own risk.
3. I am also aware that it is a condition of admission to the Dan Inosanto
Seminar, that the Nino Pilla International Academy of Martial Arts Pty
Ltd, the Progressive Martial Arts Academy, their directors, instructors,
members, servants or agents together with the Inosanto Academy, its
directors, servants or agents and the Dan Inosanto Seminar Sponsors
are absolved from any liability howsoever arising from injury or damage
howsoever caused (whether fatal or otherwise) arising out of participating
in the Dan Inosanto Seminar, including learning, training and observing
the practice of Jun Fan Gung Fu/ Jeet Kune Do/Maphilindo Silat/Filipino
Martial Arts and/or any other martial arts form that may be demonstrated,
practiced, taught or observed during the Dan Inosanto Seminar, or in
any way whatsoever due to any negligent act, breach of duty, default
and/or omission on the part of the Nino Pilla International Academy of
Martial Arts Pty Ltd, the Progressive Martial Arts Academy, their directors,
instructors, members, servants or agents, or on the part of the Inosanto
Academy, its directors, instructors, members, servants or agents or on
behalf of the Dan Inosanto Seminar Sponsors.
4. I am also aware that any person practicing, learning, training or
observing Jun Fan Gung Fu/ Jeet Kune Do/Maphilindo Silat/Filipino
Martial Arts and/or participating, learning, training or observing any other
form or martial arts or any activity whatsoever carried out during the
Dan Inosanto Seminar are only allowed to do so on the distinct
understanding that they do so at their own risk.
5. I acknowledge and am aware that participation in the Dan Inosanto
Seminar may involve extremely strenuous physical activity and to consult
my doctor if I have any physical condition or impairment that may prevent
me from fully participating in the Dan Inosanto Seminar before commencing
and undertaking such activity. I hereby represent that, to the best of my
knowledge, I am in good physical health and condition, sufficient to
undertake all activities and practices during the Dan Inosanto Seminar.
6. I understand that during the Dan Inosanto Seminar no photographs
may be taken, and audio and video recording is strictly prohibited without
prior express written consent of the Dan Inosanto Seminar Sponsors or
Inosanto Academy. In addition, should I obtain prior written permission
to take photographs; I agree that such photographs shall only be used
by me and by no one else, for my own personal use and not for commercial
gain or for any other purpose.
Sifu Dan Inosanto is the heir to
Bruce Lee’s legacy of Jeet Kune Do
and the only person ever to receive
instructorship certification in Jeet
Kune Do personally from Bruce Lee.
From 1964 to 1973, Sifu Inosanto
was Bruce Lee’s private student,
sparring partner, training partner
and chief instructor of the Chinatown
JKD School in Los Angeles.
Sifu Inosanto will teach Jun Fan
Gung Fu (kickboxing, trapping and
locking). He will also teach Filipino
Kali and various systems of
Malaysian, Phillipine and Indonesian
Silat (Maphilindo Silat).
He will show the drills, techniques
and applications of both empty hand
and weapons.
Please cut and return with payment
Take advantage of this opportunity
to train with the legendary Dan
Inosanto and experience first hand
his skill, grace and incredible wealth
of knowledge spanning countless
styles of martial arts.
I,
of
(Your name or that of a parent/guardian if under 18years)
(Address)
DO HEREBY ACKNOWLEDGE that of my own free will and desire I
submit my application to participate in the Dan Inosanto Seminar for
instruction and training in martial arts (Jun Fan Gung Fu/Jeet Kune
Do/Maphilindo Silat/Filipino Martial Arts) activities mentioned above and
that I have read and understood the warning in paragraph 5 above.
Signed by the said
(Signature)
In the presence of
(Name of witness)
(Signature of witness)