Learning
Go From a Professional
2014 Summer Go Day Camp
Teacher: Mingjiu Jiang, Professional 7
Dan
Date & Time: July 7, 2014----July 11, 2014 at 10:00a.m----5:00p.m every day
Location: 1289 Lane Ave. Mountain View, CA 94040
Qualification: All interested in Go
Fees: $300 (Lunch and snacks included)
Limit: 16 Seats （first come first serve basis）
Registration: Mail registration form and a check before May 31, 2014 to:
Mingjiu Jiang
1289 Lane Ave. Mountain View, CA 94040
Contact: Tel: 650-796-1602 Email: mingjiu7p@hotmail.com
Date & Time: July 7, 2014----July 11, 2014 at 10:00a.m----5:00p.m every day
Location: 1289 Lane Ave. Mountain View, CA 94040
Qualification: All interested in Go
Fees: $300 (Lunch and snacks included)
Limit: 16 Seats （first come first serve basis）
Registration: Mail registration form and a check before May 31, 2014 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#:_____________________
Name:_____________________Chinese Name:____________________
Rank:___________________Age:______________Sex:______________
Phone#:____________________Email:____________________________
Address:____________________________________________________
____________________________________________________
Fees:_______________________
Emergency Contact
Name:________________________Relationship:____________________
Phone#:_____________________
I (we) am voluntarily participate in Mingjiu Jiang's 2014 Summer Go Day Camp. I (we)
hereby agree that the 2014 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:____________
