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Event Registration

 

Register for: GM Lan HP Session (1) - PN
February 19, 2013
At: Palmerston North
Taken by: Grand Master Lan

HP Small Group Session - HP Squad only
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:    
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.
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

GM Lan HP Session (1) - PN
February 19, 2013
At: Palmerston North
Taken by: Grand Master Lan


Matt Bowden
Nathan Bowden
Master Suzanne Patterson
( * indicates non-ITFNZ member)



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