Interim Instructors Course

Application form
This form is for instructors who have let their Update Course qualification lapse and need to extend their qualification until the next available Update Course or IIC. On receipt of this application, your local IDO will be in touch to organise a day and venue for the course. The course is normally around 2 hours in duration and can be on an evening or weekend that suits all parties. It can be a one on one session or in a small group.
Name:
Name of your Club:
Address:
Email address:
Phone:
Position:	Instructor Assistant Instructor
Fee:	Fee is $75.00 pp - pay now into bank account: ASB 12-3035-0746009-00. Use your surname and "interim" as references.
List others attending with iou:
Your Bank Account:	This is for any refunds if case the course is cancelled.

Other information or questions:
Please Verify :
Conditions I agree not to hold International Taekwon-Do or the organisers responsible for any injury I may sustain during the event. I have paid the course fee into the account noted above. I understand this course is only valid until the next available Update course. I agree to notify the organisers at least 48 hours in advance if I am for any reason unable to attend. If I do not cancel I understand I am obligated to still pay the application fee.
I agree to the conditions listed above and submit my application