PARKS TAEKWONDO CLUB at J.F.

BURNS ELEMENTARY
Session 2 (2014-15)
RSVP: Due January 12, 2015 (513) 469-7275
Who:

When:
Where:

Grades K & up (Beginners and up)

For continuing students, Belt PromotionTest will be offered. (Optional)
Mondays, 3:30 4:15 pm, for 8 weeks
Jan. 12, 26, Feb. 2, 9, 23 Mar. 2, 9 & 16
Multipurpose Room.

Pick-Up Time: 4:15 pm SHARP!

Due to another commitment by Master Park, it is critical that you be prompt about picking up your child.
Thank you.

What:

Learn; CONFIDENCE, SELF-CONTROL, RESPECT, FITNESS,

DISCIPLINE, TEAM WORK, POSITIVE ATTITUDE,
BULLY PREVENTION & MORE.

Registration: $120.00 (make a check payable to Parks TKD)

Or Sign-up over the phone by calling (513) 469-7275
Free Uniform for New Students.
Minimum of 8 signups are required to hold the classes.
Please submit below portion to
Park's TaeKwonDo Club
RSVP BY: January 12, 2015

Name:____________________________________ Age:_______ Height/Weight:____________/_____________

Address:________________________________________ City:______________________ Zip:______________
Phone Number:___________________ Email:___________________________ Payment Type: Cash/Check/Card
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 and
administrators waive, release and forever discharge any and all rights and claims for damages which I may have against
Parks TaeKwonDo Training & Fitness, J.F. Burns Elementary, and all members of the J.F. Burns, Parks TaeKwonDo Club and
their respective officers, instructors, agents, representatives, successors, and/or assigns and against any students for any and
all damages which may be sustained by me in connection with my association with or entry in the above athletic meet, and
which may arise out of traveling to, participating in, and/or returning from such athletic class. I fully understand that
TaeKwonDo is a sport and that injuries can occur during practice. In the event this application is for a minor, I warrant and
represent that I am the parent or legal guardian of such applicant and that I waive any and all rights and claims for damages
claimed for students contained herein.

Parent Signature__________________________________________________Date________________________