Get Started Right Now with your FREE Class!

Register now to get your FREE class!  Select your class below!
 
Wear comfortable clothes (shorts and a T-shirt are fine).  Come about 15 minutes early so we can fill out a little paperwork and give you a quick explanation of what will happen in class.
 
Class will run for 45 minutes.  Afterwards, we will talk for another 15 minutes to review more information about our program and talk about how you can continue with us, if you think we are a good fit for your and your family!  

Northwest Indiana Martial Arts Academy
1000 Eagle Ridge Drive
Schererville, IN 46375
Click for a larger map
INFO:   Please note that this form contains limited capacity items which are sold out. They are displayed grayed out and/or are not selectable.

Review Your Payment Information:

Registrant Fee: $0.00



Billing information


Billing and Payment
Billing and payment processing for Businesses' events is performed by Member Solutions, Inc. ("MSI"), and this contract is specifically assigned to MSI for all such purposes. Customer knowingly and irrevocably authorizes MSI to charge electronically Customer's bank account and/or credit card for any and all amounts due for Customer's, and anyone registering under Customer's, attendance and participation in the Event. Please note, you may see all or any portion of the following on your bank or credit card statement: "MSI*NORTHWESTINDIANAMART 8882448044 ONLINE REG FEE". Any returned payment will be assessed a $25.00 fee. Any unsuccessful electronic transaction is subject to a $10.00 processing fee. MSI is not responsible for any bank fees incurred by Customer. MSI has the sole right to resubmit returned or declined items (plus applicable fees) without prior notice. BILLING INQUIRIES -- 888-244-8044 or by mail to PO Box 297, Hatboro, PA 19040.

Applicant Agreement
I represent that I am the person who appears on the application above. I acknowledge and agree to the statements, terms and conditions above, as well as any applicable terms and conditions for this registration, and that by typing my name below and completing this registration form, I am electronically signing the document, which will have the same legal effect as the execution of the document by a written signature and shall be valid evidence of my intent and agreement to be bound.

Applicant Signature
Please enter your full name in the space below.
 


Please click the button below to finalize your registration.



Registration inquiries:
Adam Theros
219-595-7365
nwimaa@gmail.com
www.nwindianamartialarts.com
= required field
Oops! You do not have javascript enabled. This registration process depends on javascript to function correctly.

Please enable javascript in your browser and then reload this page.
Registrant   remove this registrant

Facebook
Google
Internet Add
Movie Theater
Celebrate Schererville
Dyerfest
National Night Out
Tri-Town Safety Village
Bully Event/Self Defense Event
Phone Book
Corn Roast
Referral
Other
Release and Waiver of Liability and Indemnity
(Read Carefully Before Signing)

Please read this form carefully and be aware that in signing up and participating in this event for which you/your child are registering, you will be expressly assuming risk and legal liability and waiving and releasing all claims for injuries, damages or loss which you or your minor child/ward might sustain as a result of participating in any and all activities connected with and associated with said programs/activities (including transportation services/vehicle operation, when provided).

I recognize and acknowledge that the strenuous nature of this activity involves the risk of serious injury, and I voluntarily agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that my minor child/ward or I may sustain as a result of said participation.

I further agree that any pictures or images taken of my minor child/ward or myself in connection with my participation in this activity may be used by Theros Enterprises, Inc. and the World Tang Soo Do Association for promotional purposes without compensation at this time or any other time.

I do hereby fully release and forever discharge Theros Enterprises, Inc., including it's officials, premises of operation, agents, volunteers, the World Tang Soo Do Association and employees from any and all claims for injuries, damages, or loss that my minor child/ward or I may have or which may accrue to me or my minor child/ward and arising out of, connected with, or in any way associated with these programs/activities.
Check this box to indicate that you have read and agree to all of the above terms & conditions