Womens Self Defence Rego Form

Name*
First Last
Phone*
Email*
Enter Email Confirm Email
Date of Birth*
DD slash MM slash YYYY
Select your preferred session:*
- Wednesday 5th May (7pm - 8.30pm)
- Thursday 6th May (11am - 12.30)
Registration for Women's Self Defence workshop
Total
$ 0.00
Participant Waiver & Refund Policy*
- I, the undersigned, in consideration of, and as a condition of acceptance of my participation in the course conducted by United ITF Taekwon-Do Australia Inc. , for myself, my heirs, executors and administrators hereby waive all and any claims, right or cause of action which I or they may otherwise have, for or arising out of loss of life or injury , damage or loss of any description whatsoever, which I might suffer or sustain in the course of, or consequent upon my participation in the said course. I understand and accept, that with all participation in activities requiring physical contact with others, that there is an acceptable element of risk. I understand that payment is for a 3 session course, and no refunds will be issued for any cancellation less that 7 days in advance of the first session, or for any classes not attended.
Where participant is under 18 years of age, parent or legal guardian must check this box on their behalf. No forms accepted without payment.
Name
This field is for validation purposes and should be left unchanged.

Course Instructor, Master Michael Muleta 8th Degree

Being held in conjunction with Global Fitness Institute