2020 Spring TaeKwonDo - Core Program (Orange belt and higher) Registration

2020 Spring TaeKwonDo registration

April 1, 2020

 Register & Paid by April 14th   and save 25%

PROMO CODE "  2020spring  "


610 Simpson st
Thunder Bay, Ontario
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INFO:   Please note that this form contains limited capacity items which are sold out. They are displayed grayed out and/or are not selectable.

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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*COOKESMARTIALARTS 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.

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Victor Cooke
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Orange Green,Blue,Purple,Red & Brown 
Tuesday & Thursday  6:00 - 6:45 pm & Saturday 12:00-12:45pm

Yellow , Orange,Green , Blue , Purple ,  Red & Brown  
Tuesday & Thursday 6:45 - 7:30 pm & Saturday 12:00-12:45 pm

Adult Intermediate/ Advanced & Black Belt
Yellow , Orange,Green , Blue , Purple ,  Red & Brown  , Black 
Tuesday & Thursday 7:30 - 8:15 pm & Saturday 12:00-12:45 pm


Advanced Black belt
8:15 -8:45 pm  Tuesday & Thursday   

 Bo Staff Weapon training
Saturday 1:00-1:30pm 

**Must be green belt or higher** 

 Sword form training 
Saturday 1:30-2:00pm 

*** Must have completed BO staff level 3 training & Red belt or higher ***

Kick Boxing Cardio Training Class 

6:00 - 7:00 pm ages 14+ .    non contact class - No experience required 

Note: ALL information will be kept in the strictest of confidence. This information is being collected for reasons of safety and for contact purposes only. In the event of an emergency this information sheet can be given to the attending paramedics. It is the responsibility of the student (Parent/Legal Guardian) to keep this information up-to-date. Pleases return this sheet completed and signed.

Thank You

Head Instructor
Victor Cooke.
Master 5th degree Black Belt

Participant Waiver, Release and Indemnity Agreement

Release, Waiver and Indemnity: In consideration of the acceptance of my application and the permission to participate as a student in Tae Kwon Do classes as taught by Cooke’s Tae Kwon Do / Cooke's Martial Arts /CMA. I Agree to abide by all the rules of Cooke’s Tae Kwon Do / Cooke's Martial Arts /CMA. I further agree that I will not hold Cooke’s Tae Kwon Do / Cooke's Martial Arts /CMA or any instructor or member of Cooke’s Tae Kwon Do / Cooke's Martial Arts /CMA., or facility were instruction is given responsible for any injury that I might sustain as a result of my participation in the Cooke’s Tae Kwon Do / Cooke's Martial Arts /CMA program. I for myself , my heirs, executors, administrators and successors, release all and any claims against Cooke’s Tae Kwon Do / Cooke's Martial Arts /CMA., and any instructor of Cooke’s Tae Kwon Do / Cooke's Martial Arts /CMA classes, and facility where Cooke’s Tae Kwon Do / Cooke's Martial Arts /CMA instruction is offered, arising out of personal injuries sustained while participating in the program and while on the premises on which the program is presented, and all other successors and assigns of and from all claims, demands, damage costs, expenses, actions and causes of actions whether in law or equity, in respect of death, injury, loss whether as a spectator, participant, competitor or otherwise, whether prior to, during or subsequent to the program and notwithstanding that the same may have been contributed to or occasioned by the negligence of any of the aforesaid. I further hereby undertake to hold and save harmless and agree to idemnify all of the aforesaid from said program. By submitting this application, I acknowledge I have read, understood and agree to the above waiver, release and indeminity. Participation in any of these activities/programs should be considered a high risk sports activity/program, my participation in any of these activities/programs is at my own risk, and further I warrant that I am physically fit to participate in these activities/programs.

Photo Release
The purpose of this is to give permission for the use of names and photographs of students of Cooke’s Tae Kwon Do/ Cooke’s Martial Arts Club for the use in newspaper articles, brochures, promotional materials , Website , and as well as promotional displays set up by Cooke’s Tae Kwon Do /Cooke’s Martial Arts /CMA .

Check this box to indicate that you have read and agree to all of the above terms & conditions

E-mail notifications
Cooke’s Martial Arts strives to keep its members and participants  informed and up-to-date. We send messages by email, electronic newsletters, and social media about upcoming Martial Arts events . But, the law has changed.
As of July 1, 2014, Canada's new Anti-Spam Legislation requires us to have your consent to allow us to continue sending you electronic messages and club notifications.
If you would like to continue receiving electronic messages from us, please select YES or No.
To protect you from unwanted messages, we will remove you from our list and no longer send you electronic messages, if you do not provide your consent.
Student annual membership fee $50