Enter the division and the ring number. Payable to Pierre Scanzano: Money order,
certified bank checks or travelers checks in Canadian funds only.
If you pay
at the door : Cash only (Canadian).
Universel Tae Kwon Do, 7240 Chemin Chambly, Saint-Hubert, Qc,
J3Y 3R9
TéL / Phone: 450-445-4698 Fax: 450-445-3156 EMAIL:
pierre.scanzano@sympatico.ca |
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Regarding my registration to this athletic event, I hereby
declare that me/my administrators, or my heirs, will not
intend any civil or any kind of legal suit against Universel
Tae Kwon Do KIXX,
Pierre Scanzano and/or any of his subsidaries and associates;
and against any participant for any injury that I may incur
as a result of my attendance and/or participation at the
above specified event. I
authorize the use of my pictures, movies, media coverage,
etc. to be used by those associated with this event at any
time and will not ask compensation whatsoever for their use.
Additionnally, I am
fully aware of my personal medical condition and hereby
certify that I am mentally and physically fit to compete at
this Martial-art tournament. I understand that a proof of my
age (birth certificate)
can be asked to participate at the KIXX tournament.
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