UNITED STATES CHUNG DO KWAN, INC.
2010 VIP Passes

Premiere VIP Annual Pass - $375
VIP Annual Pass - $299

Pay for 2 at full price and get 1/2 off for rest of family (same household only)
Premiere VIP Annual Pass - $188
VIP Annual Pass - $150

Step 1: Information
(This must be filled out and submitted for each participant, Step 2 is only done once)

NAME:
E-MAIL:
PHONE:
RANK:
AGE:
SCHOOL NAME:
ADDRESS:
2009 VIP Number:
If purchased


I promise to be loyal and trustworthy to the USCDKA and my Instructor. I understand that I am engaged in a contact sport and agree to hold harmless the U.S Chung Do Kwan Association, Inc., its members, officers, instructors, masters, all schools, their officials from all damages, costs, injuries, and expenses, however incurred during or as a result of my participation in any USCDKA Event.