5/19/2018 Park's TaeKwonDo
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PARKS TAEKWONDO CLUB at J.F. BURNS ELEMENTARY
Session 1 (2014-15)
RSVP: Due October 29, 2014 (513) 469-7275
Who: Grades K & up (Free Uniform for All New Students.)
When: Mondays, 3:304:15 pm, for 8 weeksNov. 3, 10, 17, 24, Dec.
1, 8 &15
(CLASSES ARE TAUGHT BY MASTER PARK)
Where: Cafeteria(please pack a small snack for your child.)
Pick-Up Time: 4:15 pm SHARP!
What: Learn; CONFIDENCE, SELF-CONTROL, RESPECT, FITNESS,
DISCIPLINE, TEAM WORK, POSITIVE ATTITUDE,
BULLY PREVENTION & MORE.
Registration: $105.00(make a check payable to Parks TKD or put
Credit Card Info belowOr Sign-up over the phone by calling (513)
469-7275Free Uniform for All New Students.
Need more info?? Call, PTO Contact, Janel Shepherd (513)
405-6761 or
Master Park (513)469-7275 Instructor is subject to change.
Please mail this portion toPark's TaeKwonDo Club
8944 Columbia Rd Suite 700. Loveland, OH 45140
StudentsName:____________________________________ Age:_____
Height/Weight:____________/____
Address:________________________________________
City:______________________ Zip:___________
Phone Number:___________________
Email:___________________________ Payment Type: Cash/Check/C
Credit Card #:_______________________________________
Exp:__________ Type: MC / Visa / Dis
Emergency Contact Person:__________________________
Phone:____________________ Relation:_______
LIABILITY WAIVER
In consideration of your acceptance of my registration in this
club, I do hereby, for myself, my heirs, executors
administrators waive, release and forever discharge any and all
rights and claims for damages which I may have ag
Parks TaeKwonDo Training & Fitness, J.F. Burns Elementary,
and all members of the J.F. Burns, Parks TaeKwonDo Clu
their respective officers, instructors, agents, representatives,
successors, and/or assigns and against any students for an
all damages which may be sustained by me in connection with my
association with or entry in the above athletic meet
which may arise out of traveling to, participating in, and/or
returning from such athletic class. I fully understand
TaeKwonDo is a sport and that injuries can occur during
practice. In the event this application is for a minor, I
warran
represent that I am the parent or legal guardian of such
applicant and that I waive any and all rights and claims for
dam
claimed for students contained herein.
Parent
Signature__________________________________________________Date________________________
