2016 Summer Go Day Camp

2016 Summer Go Day Camp

(The 11th Chunlan Cup World Professional Weiqi Championship)
 
Learning Go From a Professional !
 
Teacher: Mingjiu Jiang, Professional 7 Dan

Date & Time: June 20, 2016----June 24, 2016 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 2016 Summer Go Day Camp. I (we)
hereby agree that the 2016 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:_____________