Event Registration

Register for: Technical Seminar November 05, 2016 At: OUT IN THE STYX Taken by: ITKD MASTERS Pay now to reserve your place - itkd account ASB 12-3035-0746009-00
To register for this event requires fully paid-up Annual Membership. Forgotten your Membership# - ask your instructor. If you have a membership#, it is quicker to use your MyInfo screen to access courses, it will fill in a lot of the detail.
NZ Membership #:
Name:
Address:
Email address:
Rank:
Age:
Male/Female:
Phone:
Name of your Club:
Your bank account No.	If you are making a payment to us, please provide your bank account number so that we can quickly process a refund to you if that was required.
Course fee - $90:
Meals & Ensuite - WAITING LIST:
Meals & Bunk accommodation - WAITING LIST:
Meals (if staying off site) - $50:
TOTAL TO PAY (Don't pay if on the waiting list - we will invoice you):
Other information or questions:
Please enter code :
Conditions If you are under 18 years of age please obtain your parents permission and ask them to tick the box below agreeing to the following terms and conditions. I agree not to hold International Taekwon-Do or the organisers responsible for any injury I may sustain during the event. I agree to notify the organisers at least 48 hours in advance if I am for any reason unable to attend, so that someone can take my place. If I do not cancel I understand I am obligated to still pay the event fee. I/we grant the organiser irrevocable permission to use photographs, audio recordings, videotapes, artwork or other likenesses of me/us for marketing, promotional, trade, demonstration, publishing or any other lawful purpose without remuneration. I have read the waiver and release linked to here. By submitting my registration to this event I agree it is my intention to exempt and relieve the parties stated above and ITFNZ incorporated from liability for personal injury, or death caused by negligence or any other cause.
I agree to the conditions listed above and submit my registration

REGISTRATIONS

Technical Seminar
November 05, 2016
At: OUT IN THE STYX
Taken by: ITKD MASTERS

Mr Darren Andrews
Master Mark Banicevich
Master Mahesh Bhana
Master Hayden Breese
Mr Gwyn Brown
Ms Rose Cherrington
Mr Brendan Doogan
Master Grant Eccles
Master Pete Graham
Mr Craig Hannah
Mr Debbie Hart
Mr Kris Herbison
Mr Richard Iotua
Mr Rene Kunz
Mr David Lo
Mr Simon Mallinson
Master Lawrence Mantjika
Mrs Thu Nguyen
Master Graham Patterson
Master Suzanne Patterson
Master Steve Pellow
Mr Vince Pygott
Master Kane Raukura
Master James Rimmer
Mrs Sonya Robinson
Grandmaster Graeme Rounthwaite
Ms Nicola Tse
Mr Brice Valles
Mrs Lena Walton
Master Darren Ward
Master Christine Young
( * indicates non-ITFNZ member)

Event Registration

Register for: Technical SeminarNovember 05, 2016 At: OUT IN THE STYXTaken by: ITKD MASTERS

Register for: Technical Seminar
November 05, 2016
At: OUT IN THE STYX
Taken by: ITKD MASTERS