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Event Registration
Register for: South Island Regional Camp
April 02, 2021
At: Living Springs Camp and conference Centre, Banks Peninsula
Taken by: Special Guest Instructors
Pay into Halswell Taekwon-Do 06-0817-0688516-00. Please use reference CAMP21 and your surname and initials
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:
Mr
Mrs
Ms
Miss
Address:
Email address:
Rank:
Age:
Male/Female:
M
F
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.
Do you have an additional family member attending?:
(Contact details of additional family members):
T-Shirt Size (for full paying attendies) Please indicate "Kids" or "Adults" and the size:
Special dietary requirements or Any Medical Conditions we should be aware of?:
Designated adult:
I AGREE that if there are any changes to any of the above information before the start of camp, I will inform the camp organisers ASAP.:
I AGREE that for the safety of everyone if anyone shows signs of illness during the camp, they maybe isolated until they can be picked up or until the completion of the camp.:
Please enter the total amount you are paying ($98 per attendee, $80 for non-training caregiver/parent):
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
South Island Regional Camp
April 02, 2021
At: Living Springs Camp and conference Centre, Banks Peninsula
Taken by: Special Guest Instructors
( * indicates non-ITFNZ member)
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