March 11th & 12th, 2017

Northern Kentucky University
Nunn Dr
Newport, KY 41099
www.nku.edu

Click for Google Maps Directions

Workshop Registration

Please note: Cincy Stage Combat Workshop will not be offering Skills Proficiency Renewals this year.

Personal Information
Experience

Your Level of Experience in each of the 8 S.A.F.D. recognized weapons.

Please check only one for each weapon.

Advanced Intermediate Beginner
Advanced Intermediate Beginner
Advanced Intermediate Beginner
Advanced Intermediate Beginner
Advanced Intermediate Beginner
Advanced Intermediate Beginner
Advanced Intermediate Beginner
Advanced Intermediate Beginner
Registration

Fee includes catered breakfasts and lunches, and a t-shirt!








Check if SAFD, AEA, or AFTRA member, or if student with valid ID




$

Fee includes catered breakfasts and lunches, and a t-shirt!

T-shirt Size
Payment

You can now use Paypal for easy payment of your registration! Please allow a 4% service charge, which will be added to your total on the next page.

Please make all checks and money orders payable to:

Jonn Baca
6854 Founders Row Apt. 108
West Chester, OH 45069