2015 Summer Go Day Camp

2015 Summer Go Day Camp

Learning Go From a Professsional
 
Teacher: Mingjiu Jiang, Professional 7 Dan

Date & Time: June 22, 2015----June 26, 2015 at 10:00a.m----5:00p.m every day
 
Location: 1289 Lane Ave. Mountain View, CA 94040
 
Qualification: All interested in Go
 
Fees: $330 (Lunch and Snacks included)
 
Limit: 12 Seats (first come first serve basis)
 
Registration: Mail registration form and a check to:
Mingjiu Jiang
1289 Lane Ave. Mountain View, CA 94040
 
Contact: Tel: 650-796-1602     Email: mingjiu7p@hotmail.com
www.gomasters.com

 

Registration Form
 
Name:_____________________Chinese Name:____________________
 
Rank:___________________Age:______________Sex:______________
 
Phone#:____________________Email:____________________________
 
Address:____________________________________________________
 
____________________________________________________
 
Fees:_______________________
 
 
Emergency Contact
 
Name:________________________Relationship:____________________
 
Phone#:_____________________
 
I (we) voluntarily participate in Mingjiu Jiang's 2015 Summer Go Day Camp. I (we)
hereby agree that the 2015 Summer Go Day Comp cannot be held responsible for any
illness and injury sustained as result of participating in the Camp (training, voluntary
services or transportations).
 
Applicant's (age 18 and older) Signature:__________________Date:____________
 
Parent's/Guardians Print:_______________________________________________
 
Parent's/Guardians Signature:__________________________Date:_____________