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Organization:        IJJOR Jujutsu Onkochishin Ryu - RKAF Ryukyu Kobudo Austria Federation
                             www.jujutsu-onkochishinryu.com www.kobudo-rkaf.com
    Place:                   Francisco Josephinum - Schloss Weinzierl 1 A-3250 Wieselburg
                             Tel. +43 7416 52437 0 Fax. +43 7416 52437 49 Austria

    Arrival:           Sunday, July 17, 2011 Check-in from 15:00

     Departure:               Saturday, July 23, 2011 – Check out until 09:00 a.m
 Total cost (including full board residential and training)
                              Adults (Age 18+)                    Euro 340,--
                              Adolescents (Age 14 - 17)           Euro 325,--
                             Children (Age 6 - 13)                Euro 300,--
                             Escort                               Euro 280.-
Applications are possible until June 15, 2011. When the bank transfer can be confirmed the registration
will be completed.
   Entry form and confirmation of payment are to be sent to: Franz Gschlad seminar.ijjor.rkaf@gmail.com
   Subject for transfer: IV. Sommercamp -Wieselburg 2011 Austria
         data:
    Bank data                  Bank Raiffeisenkasse Michelhausen
                              Bank Account Nr: 879 395
                              BLC: 32497
                              IBAN: AT 343249700000879395
                              BIC/SWIFT Code: RLNWATW1497

   Course trainers:            Belgium       Johny Lenskens - Hakko Ryu Jujutsu Hanshi
                               Italy         Roberto De Ronzi - Jiu Jitsu Shihan
                               Italy         Jino Nosi Karate - Shito Ryu Shihan
                               Germany        Wolfgang Siebel ( Honorary Master ) Karate Shoto KanShihan
                               Spain         Vicente Borondo - Jodo y Kenjutsu Shomokuroku
                               Spain         Marcos Sala Ivars - Seitei Iaido Sensei
                               Switzerland Ralph Irminge - Penka Siltat Haka Tahir Sensei
                               Austria       Maria Schmöllerl - Goshindo
                               Spain        David Rodriguez – Kobudo Okinawa
                               Austria/Spain Jesus Potrero - Jujutsu/ Kobudo Shihan

     Couser instructors:
                               President: Jesus Potrero
                               Coordination: Haas Harald und Franz Gschlad
                               Medical attendance: Dr. Claudia Prenner
                               Child care: Maria Ellinger
                               Brigitte Horner: Gimnastics
Organization:        TDKM – ROBERTO DE RONZI
                             www.jujutsu-onkochishinryu.com www.kobudo-rkaf.com
         Place:                   Francisco Josephinum - Schloss Weinzierl 1 A-3250 Wieselburg
                                  Tel. +43 7416 52437 0 Fax. +43 7416 52437 49 Austria

         Arrival:          Sunday, July 17, 2011 Check-in from 15:00

          Departure:               Saturday, July 23, 2011 – Check out until 09:00 a.m
      Total cost (including full board residential and training)
                                   Course TDKM                          Euro 400,--
                                   Full board                           Euro 300,--
                                  Course + Full board                  Euro 675,--
                                  Escort                                Euro 300.-
Applications are possible until June 15, 2011. When the bank transfer can be confirmed the registration
will be completed.
        Entry form and confirmation of payment are to be sent to: Franz Gschlad
                                  seminar.ijjor.rkaf@gmail.com
        Subject for transfer: I. COURSE TDKM -Wieselburg 2011 Austria
             data:
        Bank data                   Bank Raiffeisenkasse Michelhausen
                                   Bank Account Nr: 879 395
                                   BLC: 32497
                                   IBAN: AT 343249700000879395
                                   BIC/SWIFT Code: RLNWATW1497

        Course trainers:           Itali      Roberto De Ronzi
Acceptance of parents or guardians
                                        Consent Form


Name of parents or guardians: _______________________________________________

Name of participating minor: ________________________________________________

____________________________________________________________________________________

     I agree that my son/my daughter will participate in IV. International Sommercamp 2011
     Wieselburg – Austria

     which is organized by Ryukyu Kobudo Austria Federation and Ju-Jutsu Onkochishin Ryu from
     17th July – 23th July 2011 at

     Francisco Josephinum - Schloss Weinzierl 1 A-3250 Wieselburg
     Tel. +43 7416 52437 0 Fax. +43 7416 52437 49 Austria

     All pictures and videos which are made of my son/my daughter during the course can be used for non-
     commercial purposes.

     I confirm that my son/my daughter has no illness or allergies which exclude him/her from a normal
     participation in the course.
.



    ______________________________________                  ________________________________________
               Date, Place                                    Signature of parents or guardians
Confidential data of the participant

   Data will be treated confidentially. The information is for the kitchen crew in case of special diets, for medical
                           purpose in case of emergencies and for the course instructors.
 Vaccinations: __________________________________________________________________________

 ______________________________________________________________________________________

 Allergies against medicaments, insect bites, food or others?            YES G              NO G

 Please list the allergies with symptoms and required medical treatment (medicaments):

 _______________________________________________________________________________________

  _______________________________________________________________________________________

  _______________________________________________________________________________________


 Do you need any special medication or are you in medical treatment?     YES G               NO G

 If YES, which one? ________________________________________________________________________

 ________________________________________________________________________________________

 ________________________________________________________________________________________

 In which interval and dose do you need the medicaments? _________________________________________

 ________________________________________________________________________________________

 Which reactions could appear? _______________________________________________________________
 ________________________________________________________________________________________

 ________________________________________________________________________________________
 Do you want vegetarian food?              YES G                 NO G

 Do you need a special diet?               YES G                 NO G
 If YES, which one? ________________________________________________________________________

 Which reactions could occur? _______________________________________________________________




____________________________                   ___________________________________________________________
       Date, Place                                        Signature of participant or parents or guardians
Contact in case of emergency
Parents or guardians:
Name:____________________________________________________
Address:__________________________________________________________________________
_____________________________________________________________________________________
Phone nr. (Home) ______________ Phone nr. (Work) _______________ Mobile phone nr. _________



Doctor or hospital which should be contacted:

Name:____________________________________________________________

Address:_____________________________________________________________________________

Phone Nr. 1.________________________________Phone Nr. 2.____________________________________

Others:

    1. Name.__________________________________ Phone Nr._____________________________________

    2. Name.__________________________________ Phone Nr._____________________________________

    3. Name.__________________________________ Phone Nr._____________________________________




              Date, Place                       Signature of parents or guardians
Entry form
Course: G IV. Internationale Summer Camp Wieselburg 2011 - G TDKM Assitant Instructor Class -A-

Name:

Street:

Postal code:                    Place:____________________ Country:

Phone Nr.:                                       Date of birth:

E-Mail.:

Association or club:

I practise:
GJu-Jitsu GKarate GKobudo GJudo GAikido GKrav Maga GPenka Siltat GJodo
GIaido GOthers; _________________________________________________

Weapons, as far as available, please take
Which are required waffen; GJo stick 1,27cm GBokken GTanto GIaito or Katana.
Kobudo weapons: G Bo G Nunchaku G Tunfa G Sai


G Yes, I want to go to Wieselburg and back to Vienna by bus. Extra costs Euro per person
G There and Return: Euro 40,--
G To route: Euro 25,--
G No, I don’t need the bus transfer


________________________                                                _________________________
     Signature of participant                                               Signature of parents or guardians


                                            Deadline: 15th June 2011
                           Attention: Limited number of participants
               Entry form and confirmation of payment are to be sent to: Franz Gschlad seminar.ijjor.rkaf@gmail.com
                          Subject for transfer: IV. Sommercamp -Wieselburg 2011 Austria

                                     data:
                                Bank data            Bank Raiffeisenkasse Michelhausen
                                                     Bank Account Nr: 879 395
                                                      BLC: 32497
                                                     IBAN: AT 343249700000879395
                                                    BIC/SWIFT Code: RLNWATW1497

                        Reason for transfer: IV. Sommercamp -Wieselburg 2011 Austria
                                              I. TDKM Assistent Instructor Classe A
Map of wieselburg
        .




            Highway A1 – Exit E60 , B25 towards “Wieselburg”.
            After the main square „Hauptplatz Wieselburg“ take
            the Grestner Straße towards Weinzierl.
            In Weinzierl go towards Wechlinger Straße.
            The parking place is near the main entrance of
            Francisco Josephinum.
            Inside there will be direction signs.
Iii. wieselburg 2011 inglisch

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Iii. wieselburg 2011 inglisch

  • 1. Organization: IJJOR Jujutsu Onkochishin Ryu - RKAF Ryukyu Kobudo Austria Federation www.jujutsu-onkochishinryu.com www.kobudo-rkaf.com Place: Francisco Josephinum - Schloss Weinzierl 1 A-3250 Wieselburg Tel. +43 7416 52437 0 Fax. +43 7416 52437 49 Austria Arrival: Sunday, July 17, 2011 Check-in from 15:00 Departure: Saturday, July 23, 2011 – Check out until 09:00 a.m Total cost (including full board residential and training) Adults (Age 18+) Euro 340,-- Adolescents (Age 14 - 17) Euro 325,-- Children (Age 6 - 13) Euro 300,-- Escort Euro 280.- Applications are possible until June 15, 2011. When the bank transfer can be confirmed the registration will be completed. Entry form and confirmation of payment are to be sent to: Franz Gschlad seminar.ijjor.rkaf@gmail.com Subject for transfer: IV. Sommercamp -Wieselburg 2011 Austria data: Bank data Bank Raiffeisenkasse Michelhausen Bank Account Nr: 879 395 BLC: 32497 IBAN: AT 343249700000879395 BIC/SWIFT Code: RLNWATW1497 Course trainers: Belgium Johny Lenskens - Hakko Ryu Jujutsu Hanshi Italy Roberto De Ronzi - Jiu Jitsu Shihan Italy Jino Nosi Karate - Shito Ryu Shihan Germany Wolfgang Siebel ( Honorary Master ) Karate Shoto KanShihan Spain Vicente Borondo - Jodo y Kenjutsu Shomokuroku Spain Marcos Sala Ivars - Seitei Iaido Sensei Switzerland Ralph Irminge - Penka Siltat Haka Tahir Sensei Austria Maria Schmöllerl - Goshindo Spain David Rodriguez – Kobudo Okinawa Austria/Spain Jesus Potrero - Jujutsu/ Kobudo Shihan Couser instructors: President: Jesus Potrero Coordination: Haas Harald und Franz Gschlad Medical attendance: Dr. Claudia Prenner Child care: Maria Ellinger Brigitte Horner: Gimnastics
  • 2. Organization: TDKM – ROBERTO DE RONZI www.jujutsu-onkochishinryu.com www.kobudo-rkaf.com Place: Francisco Josephinum - Schloss Weinzierl 1 A-3250 Wieselburg Tel. +43 7416 52437 0 Fax. +43 7416 52437 49 Austria Arrival: Sunday, July 17, 2011 Check-in from 15:00 Departure: Saturday, July 23, 2011 – Check out until 09:00 a.m Total cost (including full board residential and training) Course TDKM Euro 400,-- Full board Euro 300,-- Course + Full board Euro 675,-- Escort Euro 300.- Applications are possible until June 15, 2011. When the bank transfer can be confirmed the registration will be completed. Entry form and confirmation of payment are to be sent to: Franz Gschlad seminar.ijjor.rkaf@gmail.com Subject for transfer: I. COURSE TDKM -Wieselburg 2011 Austria data: Bank data Bank Raiffeisenkasse Michelhausen Bank Account Nr: 879 395 BLC: 32497 IBAN: AT 343249700000879395 BIC/SWIFT Code: RLNWATW1497 Course trainers: Itali Roberto De Ronzi
  • 3. Acceptance of parents or guardians Consent Form Name of parents or guardians: _______________________________________________ Name of participating minor: ________________________________________________ ____________________________________________________________________________________ I agree that my son/my daughter will participate in IV. International Sommercamp 2011 Wieselburg – Austria which is organized by Ryukyu Kobudo Austria Federation and Ju-Jutsu Onkochishin Ryu from 17th July – 23th July 2011 at Francisco Josephinum - Schloss Weinzierl 1 A-3250 Wieselburg Tel. +43 7416 52437 0 Fax. +43 7416 52437 49 Austria All pictures and videos which are made of my son/my daughter during the course can be used for non- commercial purposes. I confirm that my son/my daughter has no illness or allergies which exclude him/her from a normal participation in the course. . ______________________________________ ________________________________________ Date, Place Signature of parents or guardians
  • 4. Confidential data of the participant Data will be treated confidentially. The information is for the kitchen crew in case of special diets, for medical purpose in case of emergencies and for the course instructors. Vaccinations: __________________________________________________________________________ ______________________________________________________________________________________ Allergies against medicaments, insect bites, food or others? YES G NO G Please list the allergies with symptoms and required medical treatment (medicaments): _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ Do you need any special medication or are you in medical treatment? YES G NO G If YES, which one? ________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ In which interval and dose do you need the medicaments? _________________________________________ ________________________________________________________________________________________ Which reactions could appear? _______________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ Do you want vegetarian food? YES G NO G Do you need a special diet? YES G NO G If YES, which one? ________________________________________________________________________ Which reactions could occur? _______________________________________________________________ ____________________________ ___________________________________________________________ Date, Place Signature of participant or parents or guardians
  • 5. Contact in case of emergency Parents or guardians: Name:____________________________________________________ Address:__________________________________________________________________________ _____________________________________________________________________________________ Phone nr. (Home) ______________ Phone nr. (Work) _______________ Mobile phone nr. _________ Doctor or hospital which should be contacted: Name:____________________________________________________________ Address:_____________________________________________________________________________ Phone Nr. 1.________________________________Phone Nr. 2.____________________________________ Others: 1. Name.__________________________________ Phone Nr._____________________________________ 2. Name.__________________________________ Phone Nr._____________________________________ 3. Name.__________________________________ Phone Nr._____________________________________ Date, Place Signature of parents or guardians
  • 6. Entry form Course: G IV. Internationale Summer Camp Wieselburg 2011 - G TDKM Assitant Instructor Class -A- Name: Street: Postal code: Place:____________________ Country: Phone Nr.: Date of birth: E-Mail.: Association or club: I practise: GJu-Jitsu GKarate GKobudo GJudo GAikido GKrav Maga GPenka Siltat GJodo GIaido GOthers; _________________________________________________ Weapons, as far as available, please take Which are required waffen; GJo stick 1,27cm GBokken GTanto GIaito or Katana. Kobudo weapons: G Bo G Nunchaku G Tunfa G Sai G Yes, I want to go to Wieselburg and back to Vienna by bus. Extra costs Euro per person G There and Return: Euro 40,-- G To route: Euro 25,-- G No, I don’t need the bus transfer ________________________ _________________________ Signature of participant Signature of parents or guardians Deadline: 15th June 2011 Attention: Limited number of participants Entry form and confirmation of payment are to be sent to: Franz Gschlad seminar.ijjor.rkaf@gmail.com Subject for transfer: IV. Sommercamp -Wieselburg 2011 Austria data: Bank data Bank Raiffeisenkasse Michelhausen Bank Account Nr: 879 395 BLC: 32497 IBAN: AT 343249700000879395 BIC/SWIFT Code: RLNWATW1497 Reason for transfer: IV. Sommercamp -Wieselburg 2011 Austria I. TDKM Assistent Instructor Classe A
  • 7. Map of wieselburg . Highway A1 – Exit E60 , B25 towards “Wieselburg”. After the main square „Hauptplatz Wieselburg“ take the Grestner Straße towards Weinzierl. In Weinzierl go towards Wechlinger Straße. The parking place is near the main entrance of Francisco Josephinum. Inside there will be direction signs.