2595 Cordes Dr. Sugar Land, Texas
(281) 980 - 3030 | houstonkiaikido@yahoo.com


2013 Seminar with Kashiwaya Sensei

2013 Seminar with Kashiwaya Sensei
06 Nov

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Incorrect security code.”;
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$customTag = “2013 Kashiwaya Seminar”;
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$amount = 100;
if ($_POST[‘rdCurHKA’] == 1 && $amount > 75)
$amount = 75;

$result = $dbAccess->RegisterSeminar($_POST[‘txtFirstName’], $_POST[‘txtLastName’], $_POST[‘txtEmail’], $_POST[‘txtDojoName’], $_POST[‘txtAikidoRank’], $phone, $_POST[‘cboPhoneType’], $_POST[‘txtAddress1’], $_POST[‘txtAddress2’], $_POST[‘txtCity’], $_POST[‘cboState’], $_POST[‘txtZip’], $_POST[‘txtEmergencyContact’], $ePhone, $daysAttending, $customTag);

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There was an error receiving your registration information. Please try again, or send an email to houstonkiaikido@yahoo.com.”;
}
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$to = $_POST[‘txtEmail’];
$subject = “Registration Confirmation for Houston Ki Aikido 2013 Seminar with Kashiwaya Sensei”;

$message = ““;
$message = $message . “

Thank you for registering for our 2013 Seminar with Kashiwaya Sensei. A copy of your registration information is included below. Note that your registration is not complete until payment confirmation is received. If you submitted your payment online through PayPal, you will receive a second email with payment confirmation.

“;
$message = $message . “Seminar classes will be held from Friday, December 6 through Sunday, December 8 at the Safety America Karate school located at 2595 Cordes Drive, Sugar Land, Texas. Directions and a map can be found at http://www.houstonkiaikido.org/location/

“;
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“;

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“;
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Name: ” . $_POST[‘txtFirstName’] . ” ” . $_POST[‘txtLastName’] . “
“;
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“;
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“;
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“;
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“;
$message = $message . “Address: ” . $_POST[‘txtAddress1’] . ” ” . $_POST[‘txtAddress2’] . “, ” . $_POST[‘txtCity’] . “, ” . $_POST[‘cboState’] . ” ” . $_POST[‘txtZip’] . “
“;
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“;
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“;
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“;
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$message = $message . “

“;
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$mail_sent = @mail($to, $subject, $message, $headers);
}
}
}

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Houston Ki Aikido is pleased to host Koichi Kashiwaya sensei, (8th dan, Shin Shin Toitsu Do Aikido), Chief Instructor of the Midland Ki Federation, from Friday, December 6 through Sunday, December 8, 2013. Please join us for this special seminar, “Bouncing with Ki”. Attend the seminar to find out more about this year’s unique theme.

Kashiwaya Sensei - Air Aikido

Classes will be held at the Safety America facility, located at 2595 Cordes Drive, Sugar Land, Texas. Fees are $100 per student for the entire weekend. See the Seminar Schedule below for individual day fees.

You can register and pay for the seminar online using the form below. Payments are accepted via PayPal. Alternatively, you may print the registration form and bring it and your payment (check or cash only) on the day of the seminar.

Click here to download our seminar brochure, which includes additional information, maps, and a printable registration form.

Seminar Schedule:

Friday, December 6
6:30 PM – 7:00 PM
7:00 PM – 9:00 PM
Registration
Ki Class
Friday class only – $25
Saturday, December 7
9:00 AM – 9:30 AM
9:30 AM – 12:00 PM
1:30 PM – 4:30 PM
7:00 PM – 9:00 PM
Registration
Ki-Aikido Class I
Ki-Aikido Class II
Evening Celebration
Saturday classes only – $65

Sunday, December 8
9:00 AM – 9:30 AM
9:30 AM – 1:00 PM
Registration
Special Class Event
Sunday class only – $45

Online Registration

Fill out the form below to register and pay for our 2013 Seminar with Kashiwaya Sensei. Fields marked with an asterisk (*) are required. After submitting the form and your payment, you will receive an automated email from Houston Ki Aikido confirming your registration information.

*First Name:
*Last Name:
*Email Address:
*Current Houston Ki Aikido Member?

/> Yes /> No

Name of Dojo:
*Phone Number:

(

*Phone Number Type:

*Home Address:
*City:
*State:

*Zip:
*Emergency Contact Name:
*Emergency Phone Number:

(

*Days Attending:

/> Friday /> Saturday /> Sunday

*Release from Liability and Assumption of Risk:
1. I, *Signature: *Date (MM/DD/YYYY):

*Security Code:
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Click the Check out with PayPal button below to proceed with your registration.