March 16th & 17th, 2019

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.

Your registration will be processed as "Pending" until we confirm payment. Upon payment, you will receive an email confirming your registration. If your balance is not paid in full by March 1, 2019, your slot will no longer be held. If there is a waiting list, the slot will be given to the first person on the list.

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
4591 Summerside rd. Apt 6
Cincinnati, OH 45244