November 22, 2015 COMES WITH A T

1-800-940-7469
championforce.com
November 22, 2015
Held at the Champion Force Building
165 54th St. SW, Wyoming, MI 49548
Registration fees are non-refundable and non-transferable once received.
DO NOT GIVE REGISTRATIONS OR PAYMENTS TO YOUR INSTRUCTOR.
COMES WITH A T-SHIRT AND KUBATON
Seminar DVD available for purchase at the event. $10
OPEN TO ANYONE AGES 7 AND OLDER!
You do not have to be enrolled in CF to take the seminar. Parents and family participation strongly encouraged.
EARLY BIRD SPECIAL: $45. (if received or postmarked by 11/12 by 5pm)
Registration fee: $55 (if received by 11/19 by 5pm)
Registrations will NOT be accepted on Friday 11/20.
Availability of at the door registrations will be determined at a later time.
HOW TO REGISTER
Register Online: Visa/Mastercard payments only accepted online: https://prereg.championforce.com/events.asp
(More instructions available online) *Champion Force is not responsible for incomplete online registrations.
 Any non CFA student registering by credit card call 1-800-940-7469
Register by Mail: This is only for those who need to pay for the event with CFA Bucks OR a Money Order. Fill out
the registration form in full and send with CFA Bucks and/or Money Order made out to Champion Force.
NO Checks will be accepted!
 Only 40 spots available for each session
Session One
Check in: 9:30 a.m.
Event is from 10:00 a.m. -1:00 p.m.
Session Two
Check in: 1:30 p.m.
Event is from 2:00 p.m- 5:00p.m.
Fill out form completely and legibly, detach and mail with payment.
Payment & Liability Info
Student Information
Money Orders– by mail made payable to: Champion Force
Name:
______
Address:
Mail to:
______
1
City:
_______State:
Phone :(
)
Coach:
Zip:
Champion Force
______
MI SEMINAR
165 54th St. SW
Wyoming, MI 49548
_____________
Options:

Visa/Mastercard payments only accepted online at:
https://prereg.championforce.com/events.asp
T- Shirt
Size / Quantity: CS___ CM___ CL___ AS___ AM___ AL___ AXL___ AXXL___
Registration by (11/12) $45.
(+options) $_______
OR
Registration between (11/13-11/19)
$55. (+ options) $_______
Total Enclosed (M.O. made payable to: Champion Force) $______
THE WAIVER BELOW MUST BE SIGNED FOR YOUR CHILD TO BE ELIGIBLE TO PARTICIPATE.
Champion Force, Inc, Liability Release: I, the parent of the student listed above, do hereby
agree to release all liability & claims against the Champion Force. organization & agree to
hold harmless any liability against Champion Force., any sponsoring organization, facility,
instructor and any other party involved, due to any injuries, accidents, negligence, or any
other circumstance arising from participation in this program with respect to any time prior,
during and after the class, including participation in all Champion Force events such as
parades, performances, clinics, competitions, demonstrations, tournaments, etc. Parents
and/or CF may take photos or videos of classes, parades or special events for
personal/company use. I understand my child may be photographed. CF reserves the right to
refuse service to any customer for any reason.
Parent Signature: