Event Registration

Register for: Umpires Seminar September 30, 2017 At: Rosehill College Gym Taken by: Mr Gwyn Brown $25 please pay into ITKD Counties account 12-3032-0214197-000 and use ump424 as reference
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

Umpires Seminar
September 30, 2017
At: Rosehill College Gym
Taken by: Mr Gwyn Brown

Mr Travis Allan
Mr Kyle Anderson
Miss Morgan Bowler-Parkin
Mr James Carver
Mr Peter Cossey
Mrs Carolyn Dudley
Mr Asher Gilpin
Mr Murray Greig
Mr Kai-Hsiang Hsu
Mrs Helena Lum
Mr Logan Lum
Mrs Nicola Pallin-Simmonds
Mr Michael Quayle
Miss Charlotte Sun
( * indicates non-ITFNZ member)

Event Registration

Register for: Umpires SeminarSeptember 30, 2017 At: Rosehill College GymTaken by: Mr Gwyn Brown

Register for: Umpires Seminar
September 30, 2017
At: Rosehill College Gym
Taken by: Mr Gwyn Brown