I authorize Tae Kwon Do Martial Arts / Premier Member Plus to charge electronically credit card above.
This payment authorization is for the event described above, for the amount indicated above only.
Any returned or disputed payment will be assessed a $35.00 fee and Tae Kwon Do Martial Arts / Premier Member Plus is not responsible for any fees incurred by customer (parent/guardian). I certified that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company; so long as the transaction corresponds to the terms indicated in this form.
I represent that I am the person who appears on the application above. I acknowledge and agree to the terms and conditions above that by typing my name below and completing this registration form.
I am electronically signing the document, which will have the same legal effect as the execution of the document by a written signature and shall be valid evidence of my intent and agreement to be bound.