Outside the Square Registration

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Registration form
Your Name:
Email address:
Club:
Rank:
Age:
Phone:
Course Details:	25 & 26th February 2012 - MMC, 198 Marua Road, Ellerslie. Open to all grades, 13 years and older. (Special permission may be granted for younger students to attend if spaces allow)
What to Bring:	Dobok, drink bottle, towel, sports shoes, track-pants/shorts & t-shirt and sparring gear.
Course Cost:	$50 per day or $90 for the whole weekend! (Dinner not included)
Options:
	Count me in for dinner - please book me a place at the table. YES NO

PAYMENT		Electronic Payment	Pay on the day (cheque, cash, Efpos)
	Electronic Payment If you have Internet banking you can pay the fee online via your own bank's website). ASB 12 3287 0198504 000 In the part where you enter details to appear on THEIR statement: put "square" and your name. Old Fashioned Payment Make cheque's out to 'WTKD'. Efpos available at registration on the day.
	Attach copy of your bank payment confirmation (optional) Please supply bank reference number for your payment:

Other information or questions:
Please enter the code :
Conditions 1. I will not hold International Taekwon-Do or the organisers responsible for any injury sustained during the course of the Course. 2. Cancellation within 7 days of the Conference means I am not entitled to a refund. Registrations are on a First in First Served Basis.

	I agree to the above conditions and submit my registration:

	Calendar of Events » International Taekwon-Do has hundreds of events every year including tournaments, gradings, seminars and camps. Check our calendar regularly for the latest information, plus browse for recent and past reports and photos.

REGISTERED:

Jackie Bebbington
Angela Oliver
Mike Lowe
Grant Eccles
Jodie Collins
Terry Edwards
Hunter Edwards
Brendan Doogan
Christine Young
Luke Jackson
Shaun Skedgwell
Trudie Malone
Georgia Kendall
Riley Phillips-Harris
Callum Senior
Row Hope
Helen Caley
Kris Herbison
Mark Banicevich
Joshua Jamieson
Fery Tjandra
Naomi Tjandra
Felicia Tjandra
Chris Smith
Simon Paul Linstone
Stephanie Foster
Thomas Beuth
Liz Tee

Outside the Square Registration

Registration form

Conditions