Event Registration

Register for: Kubz Instructors Course July 09, 2022 At: Palmerston North Boys Taken by: Mrs Debbie Hart New Instructor $100, Refresher $50 Please pay ITFNZ: ASB 12-3035-0746009-02. Use reference Kubz632
This event is open to non-members. If you do not have a membership#, leave blank. (will show on list with an * ) The Name field must have at least a Firstname plus Lastname. If you want results recorded, you will need to have and enter a membership# 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:
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Rank:
Age:
Male/Female:
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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.
This is my first Kubz Course:
This is a refresher course for me:
Other information or questions:
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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

Kubz Instructors Course
July 09, 2022
At: Palmerston North Boys
Taken by: Mrs Debbie Hart

Ms Millissa Bethel
Ms Tania Gilmour
Mr Brett Kraiger
Miss Natasha Larsen
Mr Nick Lourantos
Michael Lowe
Mr Hamish Lunn
Miss Lavara Makutu
Mr Dev Patel
Miss Myah Snow
Ms Karen Taylor
Master Darren Ward
( * indicates non-ITFNZ member)

Event Registration

Register for: Kubz Instructors CourseJuly 09, 2022 At: Palmerston North BoysTaken by: Mrs Debbie Hart

Register for: Kubz Instructors Course
July 09, 2022
At: Palmerston North Boys
Taken by: Mrs Debbie Hart