BUSHIKAN PARENTS NIGHT OUT
2019


* Indicates a Required Field

* Name: * Last Name:

* Address:

* City: * State:

* Zip Code:

* Home Phone #: * Cell Phone #:

* E-mail:

NIGHT 1: February 2, 2019
NIGHT 2: March 16, 2019
NIGHT 3: May 4, 2019
NIGHT 4: June 29, 2019
NIGHT 5: September 7 , 2019
NIGHT 6: October 26 , 2019
NIGHT 7: December 14 , 2019

FEES PER PNO

PNO: 5:00 pm ~ 9:00 pm: $30 Each

PNO Fees: $30.00

* Total Amount :

Illness/Injuries?

* Emergency Contact:

* Emergency Contact Phone:

CLICK ON SEND TO MAKE A SECURE PAYMENT

 

 

   
   
   
   
   
   
   
   
   
     
e-mail: fs@bushikan.com
1945 S. Rancho Santa Fe Rd. #D
San Marcos, CA 92078 - USA
Phone:
(760) 744-5560
 
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Bushikan Budo Kyokai

Matayoshi Kobudo Kodokan Intl.

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