FCT CHAMPIONSHIP 11/7/15 - Coach Registration
Register for your Coach's Pass
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  • Please select the number of coach passes you would like to purchase. If more than one, please list the names of each additional coach in the "Additional Coach Names" field below.

    If you qualify for a free coach pass, please contact us at 904-778-2348 or fctfrontdesk@hotmail.com for assistance.
  • Please put the first and last names of each additional Coach if you have selected more than One Coach Pass. If you are only registering yourself, please put your name in this field.
  • The below named participant(s) agrees to abide by all the rules set forth and accepted by First Coast Taekwondo, Inc and The FCT OPEN. Rules will be supplied upon request. I agree to abide by any decisions of First Coast Taekwondo , Inc and FCT OPEN, its instructors, employees, or agents regarding my ability to participate. I understand and appreciate the risk; this activity involves risks and danger of serious bodily injury, including being permanent disability, paralysis and death. Risk also including, but not limited to, physical contact with other and with objects used in training pads, boards, and falling, all of which may result in injury. In consideration of the acceptance of this application by First Coast Taekwondo , Inc and FCT Open I, on behalf of myself and all others persons or entities acting or entitled to act on my behalf, including my representatives, guardians, heirs and assigns, hereby releases First Coast Taekwondo , Inc and FCT Open , its instructors, employees, and agents. Thomas Ford and Isabel Ford from any and all claim, damages, Liabilities and cause of action of any kind, and hereby voluntarily and knowingly waived any such claim, damages, liabilities and cause of action, and all rights here to, for any injury received while participating in this event. Further, I understand and acknowledge that I am solely responsible for my own medical benefits or health insurance to me or on behalf for any injuries I may suffer as a results of participating in class or any other activity on any premises owned, leased, or used by those persons or entities for this event. Further I understand that photographs and videos tapes may be taken of me in connection with my participation in these activities and I grant full usage of my image and likeness for promotional, publicity and advertising purposes connected with First Coast Taekwondo , Inc and The FCT OPEN, without any present or further claim for compensation or damages. I also covenant not to sue First Coast Taekwondo , Inc and The FCT OPEN. Permission to participate in this event sponsored by First Coast Taekwondo , Inc is conditional upon completion of this for in full and acceptance of all terms and conditions state herein, and evidence by my signature or that of my parents, as appropriate, affixed to this form in proper space below
  • This signature must be that of the individual "signing" this document electronically, otherwise it constitutes forgery under s.831.06, Florida Statutes
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