NICHIBUKAN NAGINATA
6th ANNUAL SEMINAR
& TAIKAI

Pre-Registration

Name:

Address:

Address2:

City:

State/Province:

Postal code/zip:

Country:

email:

Telephone:

Member of a Naginata Federation? Which, if any?:

Naginata Rank/Experience:

Age:

Gender:

Full Time Student in :

Have Bogu?:

Attending Friday(3/26/04):

Attending Saturday(3/27/04):

Competing Sunday(3/28/04):

In Beginner Division: Jogeburi :

Strike Out:

Engi (1,2,4):

In Advanced Division: Happoburi:

Strike Out :

Engi (3,5,8) :

Kojin (individual): Danshi(men):

Joshi (women): :

In Dantai (team) :

Position on Dantai: Sempo :

Chuken: :

Taisho: :

Dantai Name: :