2003 OPEN TAEKWON-DO CHAMPIONSHIP

REGISTRATION FORM
Please Print and Fax to 876-962-9272

Please Type

Competitor Name____________________________________________________________________

Phone (_______)________________________(Work)_______________________________________

Address____________________________________________________________________________

Country___________________________City___________________Postal Code______________

Sex - Male ____ Female______ Age_______ Weight__________ Height______________

Instructor_____________________________________ School______________________________

Address___________________________________________________________________________

Events/Division (Which Event/Division you will be competing in):

Events: Patterns__________ Sparring__________ Tech. Break____________

Belt Rank: TaeKwon-Do Karate Others___________________

White _______ White _______ _________________

Yellow _______ Blue _______ _________________

Green _______ Yellow _______ _________________

Blue ________ Green _______ _________________

Red ________ Brown _______ _________________

Black ________ Black _______ _________________

Age Group

5-6 years ______ 11-12 years_______ Adult 17 years & over_______

7-8 years ______ 13-14years _______

9-10 years_____ 15-16 years _______

Entry Fees:
Competitor: See Appendix Below
Spectators: Adults $200:00-1 day; $300:00- 2 days; Children Under 12 -$100:00

LIABILITY WAIVER

NOTE: EACH TEAM MEMBER MUST SIGN A SEPARATE RELEASE WAIVER

Read the following and sign. All Participants under 18 years of age must have a parent or guardian’s signature.
The participant acknowledges that participation in the 2004 Open Tae kwon-Do Championship is physical and participation can and often does result in injury. Being fully aware of the risks, the participant hereby expressly assumes all risk of injury or damages related to his or her attendance at or participation in the 2004 Tae kwon-Do Championship, the following entities and persons; the Jamaica Tae kwon-Do Association and its directors, coordinators, staff, officials, and other personnel associated with it’s production and operation; and its directors, officers, agents, staff & employees. The participant voluntarily waives all rights to seek compensation from any of the above parties for accidental or negligent damages in tort or contract resulting in any way from his or her participation in the event. In addition, in exchange for being granted participation in the 2004 Open Tae kwon-Do Championship, the sufficiency of which as consideration is hereby acknowledged by participant, the participant grants to 2004 Open Tae kwon-Do Championship, the unrestricted right to record, edit, and compile participant’s performance and likeness and to sell, distribute, or otherwise utilize the recording in any manner desired by those parties, and expressly waives all rights to seek compensation from those or any other parties for use of the participant’s likeness, voice, and/or performances at the 2004 Open Tae kwon-Do Championship. The participant also agrees that there will be no refund of entry fee should they miss their division for whatever reason.

Signature of Participant ________________________________
Guardian’s Signature (participant is under 18)_________________________________
Date _____________________________

PAYMENT INFORMATION

Please circle one                                Money Order   Cashier’s Cheque
Make cheque payable to:                   Jamaica Taekwon-Do Association
                                                            37 Lady Musgrave Road
                                                            Kingston 5, Jamaica
NB:      NO PERSONAL CHEQUES ACCEPTED

APPENDIX: 2005 TKD OPEN CHAMPIONSHIP 19th & 20th MARCH

Instructors, please be advised of the following and remember to inform your students and their parents where applicable, as well:

PRE-REGISTRATION:

We are encouraging pre registration to facilitate a smoother running of the tournament especially on the Saturday.
The competitor entry fee is pro rated as follows
- Pre Registration up to 12th March 2005 $1,000:00
- During the week leading up to the 17th $1,200:00
- On 18th 19th & 20th $1,700:00
- Overseas Competitors US$25:00
Registration forms and money may be left at:
- TKD Centre, 37 Lady Musgrave Road with Mr. Peter Lue, Miss Opal Martin, or Mr. Richard Henry
- Mandeville TKD Centre 37 Ward Avenue Mandeville Miss Masters or Mr. Chin-Hing
- Montego Bay 19A Union Street Mrs. Terryann Wanliss

OTHER:

Competition starts at 09:30am on Saturday and 10:30am on Sunday. Instructors PLEASE inform the parents so that they get the children there on time. We WILL NOT wait for them.
During the competition the competitor’s will be called to their assigned ring TWICE after which they will be automatically disqualified. There is NO REFUND of entry fee.
ONLY the Chief Instructor from each organization and ONE senior instructor from Member Schools will be allowed free entry. Kindly give us the names of the seniors at pre registration.
No one who is not a competitor, a referee, or an instructor – in full uniform, is allowed on the competition area or we will be forced to disqualify the competitor who is affiliated with the said individual on the floor.
Individuals are always upset that the tournament goes on for such long hours, please try to assist us on the abovementioned matters to ensure that the competition runs smoothly and we all get to go home early.

Dated 2005 January 21

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