UNIFIED INTERNATIONAL TAEKWON-DO FEDERATION

                                                        

 

         GRAND MASTER KWANG SUNG HWANG,  9TH   DEGREE  I.T.F.  K-9-1

                                             SEMINAR  MARCH 30, 2008

                                                     ( 9:00 AM - 12:00 PM)

 

                      LOCATION: 2410 AMSTERDAM AVE ( SUITE 301)

                                              NEW YORK, N.Y. 10033

 

The general registration fee is $50.00.  Which will be collected in advance prior to the seminar. The registration deadline is March 14, 2008.  (Checks and money orders will be accepted,  and made payable to Victor Fernandez .) The fee has to mail to  Mr. Fernandez  P.O. Box 592, Bronx, New York 10468.

 

Grand Master Kwang Sung Hwang, is one of the few true first generations of Taekwon-do under General Choi, will conduct a Seminarin New York, N.Y. U.S.A.

Don’t miss this opportunity to learn from a true Taekwon-do pioneer.

 

Last Name ___________________________ First Name ________________________

 

Address__________________________________________

 

City    ____________________________ State/Province_________________________ 

 

Country__________________________ Zip_________________________

 

Instructor ________________________ Instructor Phone (     ) __________________

 

E-mail___________________________ Instructor Address ______________________

 

City ____________________________ State ___________________ Zip ___________

 

Your age ______________ TKD Rank _____________________________

 

 

 

 

Waiver and Release of Liability, Assumption of Risk and Partial Consent and Indemnity Agreement

 

 In consideration of your acceptance of my entry or that of the minor child, I do hereby, for myself or the minor child, my heirs, executors, and administrators waive, release, discharge, covenant not to sue, and agree to indemnify and save and hold harmless any and all rights and claims for damages which I may have or accrue to me against the Unified I.T.F. and for Hwang’s School of Taekwon-Do, President Kwang Sung Hwang, this athletic meet, its organizing committee, Director, and all members of this athletic meet, or their respective officers, committees, medical committees, agents, representatives, successors, sponsors, advertisers, owners, and leases of premises on which the athletic meet takes place, assignees and against any competitor for any and all damages which may be sustained by me or the minor child, in connection with my association with or entry in the above athletic meet, or which may arise out of traveling to, participating in, and returning from this athletic meet.

 

I understand the nature of the Unified I.T.F. activities and believe that my experience and capabilities, or that of the minor child, to be qualified to participate in this athletic meet. I understand that Taekwon-Do activities involve risks and dangers that involve serious bodily injuries, including permanent disability, paralysis and death. These risks and dangers may be caused by myself or the minor child’s own actions or inaction’s, and/or the actions or inaction’s of

others participating in the athletic meet.

 

If the minor child or I fail to show up to the athletic meet, for any reason, I knowingly forfeit this seminar and all applicable fees. I have read the agreement. I fully understand its terms, understand that I or the minor child have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature and intend to be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid that the balance, not with standing, shall continue in full force and affect.

 

 

 

 

 

 

 

 

______________________________________________            _________________________________________________________

Participant’s Printed Name                   Date            *Parent/Legal Guardian’s Signature                Date

 

 

______________________________________________

Participant’s Signature                          Date

 

 

                      *Participants under the age of 18 years  MUST have a Parent/Legal Guardian signature*