GoMasters

2012 Summer Go Day Camp
 
Teacher: Mingjiu Jiang, Professional 7 Dan
 
Date & Time: June 25, 2012----June 29, 2012 at 9:30am----2:30pm every day
 
Location: 887 Oak Grove Ave. Suite 203, Menlo Park, CA 94025
 
Qualification: All interested in Go players
 
Fees: $300 (Lunch and snacks included)
 
Limit: 16 Seats （first come first serve basis）   
 
Registration: Mail registration form and a check before May 31, 2012 to:
                       Mingjiu Jiang
                      1289 Lane Ave. Mountain View, CA 94040
 
Contact: Tel: 650-796-1602     Email: mingjiu7p@hotmail.com
 

Registration Form
 
Name:_____________________Chinese Name:____________________
 
Rank:___________________Age:______________Sex:______________
 
Phone#:____________________Email:____________________________
 
Address:____________________________________________________
 
             ____________________________________________________
 
Fees:_______________________
 
Emergency Contact
 
Name:________________________Relationship:____________________
 
Phone#:_____________________
 

 
I (we) am voluntarily participate in Mingjiu Jiang's 2012 Summer Go Day Camp. I (we)
hereby agree that the 2012 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:_____________