Tri-State Martial Arts Taekwondo/Hapkido Self-Defense Classes. Thank you for your interest in the Tri-State Martial Arts after school program. This program focuses on Self-Defense for all ages using Tae Kwon Do and Hap Ki Do. Students are taught life skills, courtesy, respect, confidence, self-esteem and physical skills. ​Classes WILL be held December 2-4-9-11-16-18 THE COST FOR DECEMBER CLASSES $30.00, $10.00 OFF Classes will be held on Monday & Wednesday from 6:00 pm - 7:00 pm for all students. YOUR CHILD ​ MUST BE PICKED UP BY 7:10! Classes will be in the gym. ​ The cost of the program is typically $40 per student, per month for this program and must be paid in ​ full to participate by the start of the program. For December only, there is $10 off. All checks are to be made payable to Tri-State Martial Arts. There is a $30 returned check fee. Uniforms are available for purchase for $45.00 from Master Stacey. Space is limited to 30 students each class - This will fill up so get your registration in A.S.A.P! ​ If you have any questions, please contact GrandMaster Mark Stacey at [email protected] ​ or 513-370-8940. ________________________________________________________________________________ Please complete and return this registration form with payment . Please use one registration form per student & please print legibly Student’s Name________________________________________ Grade_________ Parent/Guardian Name___________________________________________________ Phone _______________________ Email______________________________________________ Emergency Contact Name ________________________________ Phone_____________________ I hereby agree that my child’s class, it’s members and the instructors, members of the Tri-State Martial Arts, ​ shall not be held liable for any injury or loss which my child may sustain while participating in an activity sponsored Tri-State Martial Arts. I am aware of the risks involved in Martial Arts instruction and certify that my child is physically capable of participating in Taekwondo / Hapkido Classes at Oakdale Elementary, Parent/Guardian Signature ______________________________________________ Date_________________ .