Taekwondo Competitor Application

$65 For 1 or 2 events - $75 for 3 events
Make Checks/Money Orders Payable to: ..........

“SFMA”
P.O. Box 959
Bryans Road, MD 20616

More information available at:
www.smtkd.com
Phone - 301-934-3699
Email:smtkd@yahoo.com

Online Registration available at www.tourneyreg.net

Entry Deadline: 3/23/10 (Add $20 late fee between 3/24 - 3/26) No Registration at the door

AAU Membership: All athletes, coaches, and officials must be current AAU members and be able to present a valid AAU card or completed AAU application form at registration.
AAU registration will be available the day of the event.
AAU FEES: Youth (under 18): $12/year - Adult (18 and older): $22/year. Competition age is as of August 31, 2010.

PRINT LEGIBLY OR TYPE: Illegible applications will NOT be
processed.

Athlete Name: _____________________________

AAU membership no. _______________
(Mandatory or include extra fee)

Home Phone (________) _______ - _________

Martial Arts School:_______________________

Instructors Name: _________________________

School Phone: (_______) __________________

ATHLETES RANK: (Check the appropriate category)

NOVICE: ________White _______ Orange _______Yellow

INTERMEDIATE: _______Green _______Blue _______Purple

ADVANCED: _______Brown _______Red _______Red/Black

BLACK BELT: _______1st Degree _______2nd Degree & up

EVENT INFORMATION:

AGE (as of Aug 31, 2010) _________ Date of Birth:________________ SEX: ______

EXACT WEIGHT: __________LBS.

Check events you’re competing in:______Forms
_____Point Sparring _______ Olympic Sparring

I hereby certify that I know and understand the rules, policies,
and code of conduct for AAU Taekwondo. I certify that I have
entered my self/child in the correct age (as of August 31, 2010)
and belt grouping and that I/he/she is qualified to compete
according to the specifications outlined in the AAU Taekwondo Handbook. I understand I/he/she may be eliminated from the competition if I have misrepresented any of the above information.
I agree to waive any claims against any persons, schools,
associations connected with this Championship from any
injuries I/my child may sustain and likewise assume full
responsibility for all my/my child's actions in connection
with the Championship. If under 18 - must be signed by a parent/guardian.

Competitor/Parent Signature: ______________________________

Date: _________________