Kenpo 5.0 Registration Form

JEFF SPEAKMAN’S WORLD MARTIAL ARTS EVENT 2015
20 YEARS OF SUSTAINED EXCELLENCE
a message from JEFF SPEAKMAN
After 20 years of pursuing our dream of building a home for the future of Kenpo it is very gratifying to have
arrived at this moment in time. I am not very good at looking back, but its moments like these that bring us to the
point of reflection and pride in our collective accomplishments over all these years. The love and friendship we
have shared over these wonderful years have become the reason we sacrifice to be together, oh and by the way, we
can do a little Kenpo too. A stab at humor, but this has become the overwhelming truth of our journey. Since my
personal evolution of consciousness after my dance with cancer, this fact of our shared love and relationship with
our 5.0 family has so beautifully become our landmark. In truth, a natural evolution of what is the best of being
human, and that is being together. To be sure, our lives on this planet is brief and because of our common vision of
Kenpo 5.0 and this family of love and ass kickers that we have become I can say without hesitation that if my life
were to end abruptly from some other source it has been a life worth living. That fact is because of all of you,
thank you my friends and loved ones. Now let us get to Vegas on this momentous "20 years of sustained
excellence" and get back to the job of taking Kenpo into the future while not forgetting our past. Never give
up…NEVER….
a message from ANTO PARSEGHIAN
Jeff Speakman’s Kenpo 5.0 is proud to announce JEFF SPEAKMAN’S WORLD MARTIAL ARTS EVENT
2015. The event will host the 5.0 Fighter World Cup Championships & Training Camp 2015! This event gives all
of us the opportunity to come together in one venue to compete and to train. Please look through the information
closely for the details and exciting additions to this event!
Last year’s event was a great success due to the professional and friendly environment of the facility, employees,
& practitioners. We will be utilizing The Orleans Casino & Hotel, which I am positive that all of you will find to
be spectacular! I’m sure you have already seen the information regarding the Camp on Mr. Speakman’s website:
www.jeffspeakman.com .
I will be administering the event registration this year. There are two ways to register:
Email registration form with credit card information to jscamp@jeffspeakman.org
Mail registration form to JSWMAE 2015: 1614 E. Washington Blvd. Pasadena, CA. USA 91104
*Please make checks payable to: JSK Franchises
I would advise everybody to book their rooms at The Orleans Casino & Hotel as soon as possible. We have a
limited number of rooms blocked, so call The Orleans Hotel and reserve your rooms! Call 1-800-675-3267. Our
group discount code is A5KPC06. Or visit www.orleanscasino.com/groups to book online. The cut-off date for
room reservations will be May 22, 2015. Room Rates: Sunday-Thursday- $34/night, Friday/Saturday- $79 /night.
Should you have questions regarding the Camp, please contact me.
Sincerely,
Antranig (Anto) Parseghian
Event coordinator
JSCAMP@JEFFSPEAKMAN.ORG
(626) 794-1700
JEFF SPEAKMAN’S WORLD MARTIAL ARTS EVENT 2015
NAME:
AGE:
WEIGHT:
GENDER:
ADDRESS:
CITY:
STATE: ZIP CODE: COUNTRY:
PHONE NUMBER:
MMA TRAINING: (MONTHS & NUMBER OF FIGHTS):
EMAIL ADDRESS:
RANK: (INCLUDE DEGREE IF BLACK BELT):
MARTIAL ARTS STUDIO:
SEMINAR ONLY PACKAGE: (INCLUDES ALL SEMINARS & ALL MEALS)
$199.00 (IF PAID BEFORE 5-22-15)
$249.00 (IF PAID AFTER 5-22-15)
+
SEMINAR PACKAGE + 1 DIVISION:
SEMINAR PACKAGE + 2 DIVISIONS:
SEMINAR PACKAGE + 3 DIVISIONS:
SEMINAR PACKAGE + 4 DIVISIONS:
+
+
+
+
$259.00 (BEFORE 5-22-15)
$309.00 (AFTER 5-22-15)
$299.00 (BEFORE 5-22-15)
$349.00 (AFTER 5-22-15)
$319.00 (BEFORE 5-22-15)
$369.00 (AFTER 5-22-15)
$329.00 (BEFORE 5-22-15)
$379.00 (AFTER 5-22-15)
____ FORMS ____TEAM DEMONSTRATION ____SELF-DEFENSE ____5.0 FIGHTING
(Please check desired events above)
GUEST FEE #1: Includes Saturday Night “Dinner & A Fight” event
$99.00 EACH +
GUEST FEE #2: Includes spectator fee & Sat. Night “Dinner & A Fight” $80.00 EACH +
(Discounted rate for participants’ family only)
$15.00 DAILY +
GUEST FEE #3: Breakfast Buffet (Friday & Saturday AVAILABLE)
EVENT T-SHIRT: □ X-Small □ Small □ Med □ L □ XL □ XXL
$25.00 EACH +____________
RAFFLE TICKETS: (Amazing prizes!)
$ 5.00 EACH +____________
(Register & pay by February 15th and get a Free camp t-shirt & 10% off the total price of registration!)
TOTAL AMOUNT PAID: =
J.S.K.5.0A. SCHOOL OWNERS’ BUSINESS LUNCH (# OF PARTICIPANTS)
METHOD OF PAYMENT:
MONEY ORDER
CHECK #
CASH
Visa, Mastercard, Amex #____________________________ EXP______________
Name on card:__________________________ Security code(CCV):_____ Billing Zip Code:________
Signature:______________________________
PLEASE MAKE CHECKS PAYABLE TO: JSK FRANCHISES
SEND TO: JSWMAE 2015 1614 E. WASHINGTON BLVD. PASADENA, CA. USA 91104
EMAIL TO: JSCAMP@JEFFSPEAKMAN.ORG
EVENT REGISTRATION / CHECK IN: Thursday 1:30pm-3:30pm & Friday 8:30am-9:30am