IMA UTAH MOVIE NIGHT

INFORMATION & REGISTRATION

November Movie Night 2024 (5.5 x 8.5 in).png

Moms and Dads, you can leave the kids with us at the IMA Utah Dojo (2258 Fort Union Blvd) on Saturday, November 9th from 6pm to 9pm and have a date night or go shopping for Christmas!

We’ve planned a night full of fun games, a movie and healthy snacks. Please have them bring a pillow and blanket for comfortable movie watching. Everything else will be provided by IMA Utah.

ALL ARE WELCOME! Your child does not have to be one of our karate students to enjoy the fun. $30 EA ($20 for each additional child from the same home). We will be watching Disney’s Mulan (1998).

Registration and payments are being accepted now and will also be accepted upon arrival at the event. To sign up, fill out the form below or fill out a form at the dojo. Cash and check only. Please make payments out to Training Champions Foundation.

Shihan Marius Gilca will be in attendance to care for your children during this event. If you have any questions, please don't hesitate to contact Shihan Marius Gilca 801-918-0671 or marius@imautah.com.

All proceeds go to the Training Champions Foundation. This non-profit organization helps our competition team attend tournaments around the country throughout the year so students and their families don't have to cover the entire cost on their own. To learn more about this non-profit, visit https://www.imautah.com/training-champions-foundation.

Movie Night Registration

November 9, 2024 from 6:00-9:00 pm

@ IMA Utah Dojo

Child Information

Please fill out a form for each child in the family coming to movie night.

First name

Last name

Birthday

Parent/Guardian Information

First Name

Last Name

Parent/Guardian Phone

Parent/Guardian Email

Medical Information

Does your child have any allergies or medical issues?

Yes

If yes, explain

I consent to my child watching Disney's Mulan (1998) (G Rated)

By signing this form, I, as parent/guardian, permit IMA Utah and Training Champions Foundation to use pictures of my child(ren) as a program participant in promotional literature, videos, social media and IMA Utah and Training Champions Foundation website.

I, as parent/guardian of the child registered, hereby assume all risks and hazards incidental to the conduct of the activities at IMA Utah and Training Champions Foundation. My Child is fit for the program(s) in which I have enrolled him/her. I HERELY RELEASE AND SHALL DEFEND, INDEMNIFY AND HOLD HARMLESS RELEASEES FROM EVERY CLAIM AND ANY LIABILITY THAT I OR MY CHILD MAY ALLEGE AGAINST RELEASEES (including reasonable legal fees and costs) AS A DIRECT OR INDIRECT RESULT OF INJURY OR DEATH TO ME OR MY CHILD BECAUSE OF MY CHILD’S PARTITIPATION IN ANY IMA UTAH AND TRAINING CHAMPIONS FOUNDATION PROGRAMS, WHETHER CAUSED BY THE NEGLIGENCE OF RELEASEES OR OTHERS TO THE MAXIMUM EXTENT PERMITTED BY LAW. I PROMISE NOT TO SUE RELEASEES ON MY BEHALF OR ON BEHALF OF MY CHILD REGARDING ANY CLAIM ARISING FROM OR RELATED TO MY CHILD’S PARTICIPATION IN ANY IMA UTAH AND TRAINING CHAMPIONS FOUNDATION PROGRAM(S). I ACKNOWLEDGE THAT, BY SIGNING THIS DOCUMENT, I AM RELEASING IMA UTAH AND TRAINING CHAMPIONS FOUNDATION AND THEIR REPRESENTATIVES, AGENTS, EMPLOYEES, VOLUNTEERS, MEMBERS, SPONSORS, PROMOTERS, AND AFFILIATES (COLLECTIVELY “RELEASEES”) FROM LIABILITY, AND THAT I AM GIVING UP SUBSTANTIAL LEGAL RIGHTS. THIS SIGN UP AND RELEASE FORM IS A CONTRACT WITH LEGAL AND BINDING CONSEQUENCES AND IT APPLIES TO ALL ACTIVITIES IN WHICH MY CHILD ENGAGES DURING THE MOVIE NIGHT AT IMA UTAH AND TRAINING CHAMPIONS FOUNDATION, REGARDLESS OF WHETHER SUCH ACTIVITY IS A PART OF A FORMAL PROGRAM. I HAVE READ THIS RELEASE CAREFULLY BEFORE SIGNING. I UNDERSTAND WHAT THIS RELEASE MEANS AND WHAT I AM AGREEING TO BY SIGNING. I understand that no insurance coverage for participants in these activities is provided by the IMA Utah and Training Champions Foundation. By registering for this program, I understand and agree that if a portion of the program is unable to be completed due to unforeseen circumstances under responsibility of the IMA Utah and Training Champions Foundation, I will receive a prorated credit on my account for the uncompleted portion of the program. I also understand that no refunds or proration will be given for any other reason.

Parent/Guardian Signature