Karate Registration

Instructor SAMER HUSSEIN

Karate Registration

Suggested Donation: $100.00 for 1 month

 / every month for 1 month

Minimum Amount: $100.00 / month


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    ,do not hold the IECPA or Karate/Jujitsu staff and volunteers responsible for any harm or injury to me during the time they are on the premises of the Islamic Education Center, located at 6635 Tilghman Street, Allentown, PA 18106.

    I will further comply with the rules and regulations set by the Karate/Jujitsu of IECPA.

    I hereby allow the staff and/or volunteers of the Karate/Jujitsu of the IECPA in the case of an emergency to me to administer CPR, First aid and/or contact emergency personnel or to take me to an Emergency Room in which case I will be fully responsible for the costs of the given treatments and/or emergency care fees.

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    I hereby give my consent to have my child to be filmed and photographed throughout the IECPA program. I also agree that the IECPA program may use the aforesaid film and photo in whole or in part in the final version of any promotional or marketing for the entity but not limited to flyers, websites, presentations, and or publications.

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    To complete registration please pay the registration fee which is the first month tuition.

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Karate Instructor SAMER HUSSEIN

Start: Monday, Aug 1, 2021
TIME Mon & Thurs:
Session #1 :: 5PM – 6:15PM
Session#2 :: 6:15PM – 7:15pM
TIME Saturday:
Session#1 :: 10Am – 11AM
Session#2 :: 11AM – 12NN
LOCATION: Social Hall
Gender: Boys & Girls
AGES: 3 – 18 years old

Registration is only accepted upon payment of full tuition dues for the family.
Thanks for your cooperation