2022 Fall martial arts training

Beginner martial arts training 

2022 Fall registration

September 19 , 2022


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.

Applicant Signature
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Registration inquiries:
Victor Cooke
1100 Memorial Ave
Thunder Bay, ON
P7B 4A3 Can
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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 .

COVID 19 Acceptance of Risk*Club herein refers to Cookes Martial Arts/Cookes TaeKwonDo/CMA

(*CLUB) release of liability, waiver of claims, assumption of risk and indemnity agreement in relation to COVID-19 and other similar infectious diseases. By signing this release agreement, you will waive or give up certain legal rights, including right to sue or claim compensation following exposure to COVID-19 or related viruses and illness and death as result. PLEASE READ CAREFULLY.

1)I understand that the World Health Organization has classified the COVID-19 outbreak as a pandemic. I further understand that COVID-19 is a highly contagious and dangerous disease, and that contact with the virus that causes COVID-19 may result in significant personal injury or death:
2)I understand and accept that while (*CLUB) has undertaken the required steps as indicated by the department public health to lessen the risk of transmission of COVID-19 in connection with the programs and services the (*CLUB) is not responsible in any manner for any risks related to COVID-19:
3)I agree to strictly comply with the COVID-19 Guidelines issued by the Club and may be amended from time to time as further information is obtained. These Guidelines are posted at the club and on our website. I have read, understand and agree to this provision:
4)I am fully aware and accept all risks that participation at (CLUB) carries with it inherent risks related to COVID-19 transmission (“Inherent Risks”) that cannot be eliminated regardless of the care taken to avoid such risks. Inherent Risks may include, but are not limited to, (1) the risk of coming into close contact with individuals or objects that may be carrying COVID-19; (2) the risk of transmitting or contracting COVID-19, directly or indirectly, to or from other individuals; and (3) injuries and complications ranging in severity from minor to catastrophic, including death, resulting directly or indirectly from COVID-19 or any treatment:
5)Further, I understand and accept that the risks of COVID-19 are not fully understood, and that contact with, or transmission of, COVID-19 may result in risks including but not limited to loss, personal injury, sickness, death, damage, and expense, the exact nature of which are not currently ascertainable, and all of which are to be considered Inherent Risks:
6)I hereby voluntarily accept and assume all risk of loss, personal injury, sickness, death, damage, and expense arising from such Inherent Risks. Furthermore, I represent and warrant that I do not suffer from any medical condition or disease that might in any way hinder or prevent me from receiving the Services, including, to my knowledge, COVID-19:
7)I hereby agree to contact (*CLUB) immediately for any of the following (1) I contract COVID-19; (2) I was in contact with anyone that contracted COVID-19; I experience any of the following Flu Symptoms, Sore Throat, Vomiting, Cough, Tiredness and Fever:

8) I, fully understand and agree to the terms and condition
identified above and I agree to follow the COVID-19 Guidelines which I have read, and which may be amended from time to time as new information is obtained. I understand that if I contravene these guidelines, I will be removed from the (*CLUB) immediately and may be suspended from the (*CLUB) until suitable discipline according to the club Discipline Policy.

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