Student Name *

First Name

Last Name

Division Entry (all participants will be registered in both divisions unless indicated below)

Indicate if only choosing one division.

Sparring only

Patterns only

Parent/Guardian Name

If student is under 18 years of age.

First Name

Last Name

Phone *

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Release and Waiver of Liability *

I release, save and hold harmless and indemnify Nine Degrees Consulting Inc. and Haechi TTKD Group Inc., its instructors, agents, employees and students, from and against all claims, actions, costs and expenses and demands in respect to death, injury, loss or damage to my person or property/death, injury, loss or damage to the person or property of my child, or to any other person or property, whosesoever and howsoever caused, arising out of or in connection with my taking part in Tae Kwon Do classes, tournaments, demonstrations, and gradings and attendance and notwithstanding that the same may have been caused, contributed to or occasioned by any act, failure or omission, including gross negligence, negligence or breach of any contractual, statutory, or common-law obligation, of Nine Degrees Consulting Inc. and Haechi TTKD Group Inc., or any of its instructors, agents, employees and students.

I am Fully Aware of and Accept *

All the risks and dangers involved in physical training and the participation in classes, tests, gradings, demonstrations, tournaments and competitions, particulars of which include but are not limited to: all manner of injury resulting from falling and impacting the ground or floor, being struck by the hands or feet of others, from the use of the hands, feet or other body parts in the breaking of boards or other objects, or from over exertion of muscles, bones, joints or other body parts as well as strains, sprains or breakage of said body parts.

Media Release *

I agree that my performance or attendance at the competition or both may be photographed, filmed, or otherwise recorded and I agree to provide Nine Degrees the right to use without compensation any image whether action or still or their parts, montages or compositions in connection with advertising and promotion of Redwood Meadows Tae Kwon-Do School, Haechi Traditional Tae Kwon-Do School, United Traditional Tae Kwon-Do Canada whether by way of printed media, digital media or otherwise.

Confirmation of Fee *

$25 (incl. GST) paid by e-transfer deposit to redwoodtaekwondo@gmail.com