MASTER YOONS CHAMPIONS
TAEKWONDO
Co-Sponsored with Roseland Recreation Department
Address: 35A Eisenhower Pkwy., Roseland, NJ Tel: 973-364-1122
Site: championstkd.com
Email: [email protected]
Starting: Monday, Sept. 15 – Nov. 3, 2014
Ages (3-5) - 5:30 p.m. – 6:00p.m.
Ages (6 – 12) - 4:00 p.m. – 4:40p.m.
Ages 13 – Adult - 7:30 p.m. – 8:20 p.m.
However you may participate during any one of our daily classes. Classes offered Monday- Saturday
Introduction to Tae Kwon Do for All Ages *no contract
 For over 20 years, Champions Tae Kwon Do has been teaching children their award winning martial arts.
We are trusted and respected.
 Life Skills: Your child will learn what respect means and how to apply it in social interactions with family
and friends. We utilize subtle techniques that teach self- control.
 Your child will be taught that tae kwon do is to be done during class time only and may not be practiced at
home on siblings, mom or dad, unless they are told to by their parents.
 We will teach the basic techniques and self-defense of TKD, in addition, your child will learn how to
stretch, exercise and the benefits of fitness.
Price: 8 Week Session $ 139 Includes a Uniform
OLYMPIC SPORT TAUGHT BY A WORLD CHAMPION FROM KOREA! LEARN A REAL MARTIAL
ART WITH RESPECT AND DISCIPLINE BEING ITS FOUNDATION!!
- - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - -- - - - - -- - - - - - - - - - -- -- - - - - - - - - - - - -- - - - - - - - -- Please fill out the entire form. Return the form and payment to: Champion’s Tae Kwon Do
Name(child)__________________________________ [] Male [] Female
Age______________________ Date of birth ____________ Grade ____________
Height __________ Weight ______________
Address ____________________________
City:____________________________ State ______________ Zip________________
Home phone _________________ cell phone ____________ e-mail address____________
Parent’s name________________________
Payment method (specify)
[] Check payable to Champions TKD [] Cash
[] Credit Card (v,mc,d) # ____________ Expiration:_____
Child Photo / Video / Release Form
I grant permission for Champion’s Taekwondo and the Borough of Roseland, Roseland, New Jersey to use photograph(s)/moving image(s) of my child participating in
Borough sponsored or co-sponsored programs and/or activities for promotional purposes. I understand that photographs or recordings may be utilized by the Borough at its
discretion for materials including, but not limited to: newsletters, brochures, television, video tape and flyers. Photographs sent to the local
newspaper may have names noted. There will be no valuable consideration paid as a result of this activity. Yes ___
No ___
General release- I certify that the applicant on this application is healthy with no illnesses or disabilities that would restrict him/her from participating in Champions Tae
kwon do program. I hereby acknowledge that Champions Tae Kwon Do, Roseland Recreation Dept. and/or its staff and students are not responsible for any injuries that may
occur on these premises. Please be advised that all parents of children who participate in any Roseland Recreation program are expected to conduct themselves in a
courteous and respectful manner. Obviously, parents should not use profanity, threats or insulting language. Parents should also not engage in any controversial
conversations with the supervisor, instructor, teacher and or coach of any program. Any parent having concern regarding a supervisor, instructor or, teacher and or coaches'
performance should refrain from speaking with said person. Rather, the parent should contact the Roseland Recreation Department directly regarding that concern. The
Recreation Director will take any necessary appropriate action.
________________________________________
Parent/Guardian
______________
Date