Feel Safe! Be Safe! - Academy of Traditional Karate

Life Defense Seminar:
Life-Defense
Seminar
!
BRING A GUEST
No prior Martial
Arts experience
required!
Learn how to stay safe:
-
Car Jacking
Home Defense
Workplace Safety
Feel Safe! Be Safe!
!
This Seminar is for men and women. We will teach basic self
defense techniques as well as scenario based training. There will
alsopossibly
be a cardio
practical
bag
hitting
section
you’llThe
get class
a
This
Life and
saving
event is
open
to Teens
andso
Adults.
great
workout
too!
includes
safety
tips that
everyone should know. Karate experience is NOT needed.
Empower Yourself Today!!!
!
Date: Saturday, 3/10/12
Date:
Saturday,
3/20/10
Time:
1:00pm3:00pm
Time:
1:15 pm
Cost:
$10 12:00for students
Kubaton
$20 required
for non ($8)
members*
Registration
3/17/10
*Includes
kubaton Deadline:
and two weeks
of
Disclaimer
and Registration
classes
to practice
your skills form on
reverse side Deadline: 3/5/12
Registration
*Note: Students should wear an
Academy of Traditional Karate
*Note: Students
should
Academy
T-Shirt and
bringwear an
Teaching Life Skills Since 1989
AcademyNon-members
T-shirt and bring
sneakers.
wearsneakers.
155 West Street, Suite 5
Non-members should wear
comfortable
clothing and
Wilmington, MA 01887
comfortable clothing and sneakers.
sneakers
(978) 658-2077
www.Traditional-Karate.com
!
Registration form on Reverse Side !
!
Disclaimer of Liability
The undersigned parent/guardian and student ______________________ hereby releases, waives, and agrees to
indemnify and hold harmless The Academy of Traditional Karate, Inc., Todd J. & Kristen A. Keane, their authorized
agents and representatives, and Howland Development from any and all liability arising from or in relation to or on the
premises designated for the practice of karate in sanctioned classes and events of all descriptions, namely life defense
Seminar, including personal injuries sustained in the customary course of practice.. In addition, if I or my child has any
known medical conditions, I will consult a physician, and I will supply a physician’s note.
Parent or Guardian _____________________________________________
Date _______________
Student ______________________________________________________
!
Date________________
!"#$%&'()*+,*(-&*./(
"##$!%!&'(%)*+,!!-.#/0!.#1#!23!4*'1!+##$!)*!*1$#1!*+#5!!!
67#%3#!%))%/.!%!/.#/0!*8!9:!;%4%(7#!)*<!=/%$#>4!*8!?1%$2)2*+%7!&%1%)#!
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!
Non-Member Registration Form
Name ____________________________
Email ____________________________
Tel. # ____________________________
Address __________________________
City ___________________ State ______ Zip ________
Allergies/Medical Conditions___________________________________
Disclaimer of Liability
The undersigned parent/guardian and student ______________________ hereby releases, waives, and agrees to
indemnify and hold harmless The Academy of Traditional Karate, Inc., Todd J. & Kristen A. Keane, their authorized
agents and representatives, and Howland Development from any and all liability arising from or in relation to or on the
premises designated for the practice of karate in sanctioned classes and events of all descriptions, namely life defense
Seminar, including personal injuries sustained in the customary course of practice.. In addition, if I or my child has any
known medical conditions, I will consult a physician, and I will supply a physician’s note.
Parent or Guardian _____________________________________________
Date _______________
Student ______________________________________________________
!
!
!"#$%&'()*+,*(-&*./(
"##$!%!&'(%)*+,!!-.#/0!.#1#!23!4*'1!+##$!)*!*1$#1!*+#5!!!
67#%3#!%))%/.!%!/.#/0!*8!9:!;%4%(7#!)*<!=/%$#>4!*8!?1%$2)2*+%7!&%1%)#!
@*1!).#!;'1/.%3#!*8!%!0'(%)*+!
Date________________