Event Registration

Register for: Umpires Seminar November 08, 2020 At: Phoenix Taekwon-Do, 32 Victoria Street Levin Taken by: Mr Darren Ward Please pay into ITKD Account: ASB 12-3035-0746009-02 with your surname and Ump552 as references
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
November 08, 2020
At: Phoenix Taekwon-Do, 32 Victoria Street Levin
Taken by: Mr Darren Ward

Mr James Carver
Mr Sean Carver
Miss Emma Conway
Mr Michael Conway
Miss Drew Gilmour
Miss Tania Gilmour
Mr Craig Hannah
Mr Brett Kraiger
Mr Thomas Meyer
Miss Cate Parata
Mr Peter Parata
Mr Shane Rogers
Mr Blake Smith
Mr Hamish Smith
Mr Matt Smith
Miss Michaela Thomson
( * indicates non-ITFNZ member)

Event Registration

Register for: Umpires SeminarNovember 08, 2020 At: Phoenix Taekwon-Do, 32 Victoria Street LevinTaken by: Mr Darren Ward

Register for: Umpires Seminar
November 08, 2020
At: Phoenix Taekwon-Do, 32 Victoria Street Levin
Taken by: Mr Darren Ward