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East Hartford Parks and Recreation

Location: LIVE, ON LINE STREAMING Spring Session: Tuesdays and Thursdays April 14—May 7 (8 classes)

Tae Kwon Do (Ages 5 to 11) Time: 4:00pm– 4:40pm Fee: FREE

A Great Way To Stay Connected

Must Complete Waiver to Participate More information Participation Waiver

Full Name:______School: ______Grade:______Date of Birth: ___/____/____ Age: ______Home address:______Email Address:______Home Phone (____)____-______Cell Phone (____)____-______Emergency Contact:______Relationship:______Emergency Phone (____)____-______More Information United , Inc. is a non-profit 501 (c)(3) and has provided high quality martial arts instruction and community service since 2009. We specialize in the Korean Martial Art of Tae Kwon Do.

Live Tae Kwon Do Classes East Hartford Parks and Recreation and United Korean Martial Arts, Inc. invites East Hartford children ages 5 to 11 to join Live On Line Streaming Tae Kwon Do Classes. Tae Kwon Do is a Korean Martial Art which is translated as“ the way of and foot.” It is a complete, integrated, and unique system on modern-day self-defense. It encompasses self-discipline, agility, flexibility, personal improvement and improves spiritual and mental performance. Tae Kwon Do training focuses on Traditions, Courtesy, Integrity, Perseverance, Self-Control and Indomitable Spirit.

For more information contact RJ Botticello at 860-836-9062. To register, please send to Sean Dwyer at [email protected] or mail to East Hartford Park and Recreation, 50 Chapman Place, East Hartford CT 06108. PLEASE INCLUDE EMAIL ADDRESS: We will contact you through email on how to upload the App.

Waiver Release

The Town of East Hartford Park & Recreation Department activity involves a variety of physical activities and there is an element of risk involved which each par- ticipant must assume (including injury, disability or death). I affirm that the participants health is adequate and that they are not under a physician’s care for any undisclosed condition that bears upon their fitness to participate in the Program. The undersigned hereby agrees:

1. I FULLY ASSUME ALL RISKS ASSOCIATED WITH UTILIZATION OF AND PARTICIPATION IN THE ACTIVITY AND AGREE NOT TO SUE AND HEREBY RELEASE THE TOWN OF East Hartford, ITS AGENTS, SERVANTS, EMPLOYEES, VOLUNTEERS, ELECTED OFFICIALS BOARDS AND COMMISSIONS (collectively “The Town”), FROM all liability should an injury to me occur during participation in the activity.

2. I, for myself and for my heirs, executors, administrators, and legal representatives, AGREE TO DEFEND, INDEMNIFY AND HOLD HARMLESS the Town, FROM any and all claims, suits or demands by anyone arising from my use of OR participation in the activity.

3. If I am a parent or guardian signing on behalf of a child or ward, I make these representations and agreements on behalf of My child or ward.

I certify by my signature that I have read this document carefully, understand the risks involved with activity participation and wish to continue with participa- tion.

I give the Town of East Hartford permission to use any photographs of my child taken while participating in this event. Signature Parent/Legal Guardian______Date______

Parent/Legal Guardian (Print Name)______