UNITED KINGDOM TAEKWON-DO CENTRES
Application for UKTCNI Instructor’s Course
DATES: Friday 13th – Sunday 15th November 2009
VENUE: The Grove Wellbeing Centre, York Road, Belfast, BT15 2AX
REGISTRATION: Friday 13th November 2009 6.00 – 6.30pm
COURSE: Friday 13th November 2009 6.30pm – 9.30pm.
Saturday 14th November 2009 10.00am – 1.00pm 2.00 – 4.00pm
Sunday 15th November 2009 10.00am – 1.00pm 2.00 – 4.00pm
GRADING: Sunday 15th November 2009 2.00 – 4.00pm (contact UKTC office for details)
UKTC Instructors Course Fee (Cash only)
1 Day = £50.00
2 Days = £75.00
3 Days = £100.00 (Instructor’s certificate is awarded with three days instruction only).
Applicant Details
Name:_____________________________________/___________________________________
Mr/Mrs/Miss First Name Only Last Name (1 only)
Address:_______________________________________________________________________
Date of Birth: __________________ Nationality: ___________________________
As in passport only
Name of Gym: __________________ Plaque Number: ___________________
Present Degree: ________________ ITF Certificate Number: ______________
I enrol for the above seminar and pay the fee of £______________. I understand that the above fee does not include any grading fee
Signature: _____________________________ Date: _______________________
Approval is given for the above person to attend the seminar shown above
Signature of authorised person: _____________________ NGB: ______________________