Nov
18
11:00 AM11:00

Grand Master Wheatley Seminar at Legacy Life Center

Legacy Life Center and All-Star Taekwon-Do Proudly Present: Grand Master Robert N. Wheatley, IX Dan, President of the USITF

November 17th, 2017 – Black Belt Grading - 5:00pm

November 18th, 2017 – Technical Seminar – * 12:00-3:00 *

*Black Belt Training Begins at 11:00am*

Location – Legacy Life Center - 1 Kimberly Road, Suite 105 - East Brunswick, NJ 08816

For additional information contact: Master Nick Malefyt - 862-216-0697 – n.malefyt7@gmail.com or Mr. Chris Albanese - 732-850-4120 - legacylifecenternj@gmail.com

Registration Form

Grand Master Robert N. Wheatley –IX Dan and President of the US-ITF – Technical Seminar. Location - Legacy Life Center 1 Kimberly Road, Suite 105 – East Brunswick, NJ 08816. Saturday, November 18th, 2017 – 12:00-3:00 (Extra Hour for Black Belts 11:00am -12:00)

 Please make all checks payable to: All-Star Taekwon-Do

Mail to: Master Nick Malefyt, 27 Lombard Drive, West Caldwell, NJ 07006

Please check 1 of the following:

Single Participant (Pre-Registration Received By November 14th) - $85.00 ____

Additional Family Member (AFM) - $65.00 per person - # of AFM’s ____

At the Door - $100.00 – No Family Discounts ____

NAME: ____________________________     RANK: _______________________

AFM NAME: ________________________     AFM NAME: ___________________

EMAIL: ____________________________    PHONE: ______________

INSTRUCTOR/DOJANG:______________________________

EMERGENCY CONTACT & PHONE: ___________________________

 Hold Harmless Agreement

I, the undersigned, have been informed and understand that Taekwon-Do can cause injuries both minor and severe.  I acknowledge that I am voluntarily participating in this seminar with a full awareness of the dangers involved and assume full responsibility for all of my actions in connection with said seminar.  I agree to fully release and discharge All-Star Taekwon-Do, Legacy Life Center, the US-ITF, the ITF, and its employees, agents, and volunteers (collectively, the agents), from any and all claims, demands, damages, and causes of actions that I currently have or may acquire in the future against All-Star Taekwon-Do, Legacy Life Center, the US-ITF, the ITF or its agents.  I assume full responsibility for all personal injuries or damages that may occur in, on, or about Legacy Life Center properties, and agree that the school and its Agents shall not be liable for any such injuries or damages, claimed by myself, members of my family and/or my estate, against any person or organization connected with All-Star Taekwon-Do and Legacy Life Center.  In addition, the School and its Agents will not be held liable for the loss or theft of any personal property.

Parent/Guardian (Under 18)/Student Signature:_____________________    Date:_________

For additional information contact::

Master Nick Malefyt - 862-216-0697. By email: n.malefyt7@gmail.com                 

 Mr. Chris Albanese - 732-850-4120 - legacylifecenternj@gmail.com

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Mar
4
10:00 AM10:00

Grand Master Wheatley Ohio Seminar

Grand Master Wheatley will be teaching a seminar hosted by Master Carol Van Zile in Sylvania, Ohio. We will be leaving on Thursday, March 2 nd around 1:00 pm and returning on Sunday. Classes will not be held on Thursday, March 2nd but class will be held on Saturday, March 4th (Mrs. Jess Teaching. Additional information will follow.

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