Registration Form  
Personal Information  
Select Role*:
First Name *:
Last Name*:
Sex*:
Date of Birth*: (mm-dd-yyyy)
Age*: years

Parent/Guardian Name :
Email Address*:

Note: Due to some issues with hotmail, please use a different account to register

Repeat Email Address*:
Weight *: lbs
Height: feet inches
Rank/ Belt Holder*:

Note: ID Picture - Upload only JPG / JPEG Format, No Bigger than 7 MB

ID Picture*:
Years of Experience : years
School Information  
Name of School/Training Center*: use your school’s “OFFICIAL NAME”
State*:
Email*:
Phone Number*:
Tournament’s Event Information  
Tournament Name*:

Note:

World Class and Sports Poomse competitors will not allowed participate in Sparring/Form division

Selects Event(s)*:
Total Registration Fees  :
$
Contact Information  
State*:
Cell Phone Number*: Carrier :*

Note: If you would like to receive a text message of your calling schedule to the holding area, please fill in your cell phone number and select carrier

Liability Waiver  

LIABILITY WAIVER

In consideration of your acceptance of my registration, I do hereby, for my-self, heirs, executors and administrators waive, release and forever discharge any and all rights claims for damages which I may have, or which may occur to me, against The American TaeKwonDo United Inc. and for its state and district associations, 2019 American TaeKwonDo United Successors, and all members of the tournament, or their respective officers, agents, representatives, successors, and/or assigns, Renaissance Schaumburg Convention Center Hotel 1151 Thoreau Dr N. Schaumburg, IL 60173 and against any competitors for any and all damages which may be sustained by me in connection with my association with my participation in or entry in the above athletic meet and competition, and in connection with any medical service I may be provided in connection with any such injury or illness. I understand that TaeKwonDo is a body contact sport and I further understand all contents of the 2019 rules and regulations and general information which was published by the sponsors and I agree with them in their entirety. I further understand that I may be dismissed from the premises without compensation or refund if my conduct is not courteous and cooperative for the successful operation of the championships

Click to view all liabilities
Medical Questionnaire  
Do you have any allergies to medication? :
Do you take any medication regularly? :
Do you wear contact lenses? :
Do you have a history of:  
Epilepsy (seizures) :
Lung Disease :
Heart Disease :
Diabetes :
High Blood Pressure :

If competitor is under age 18, this must signed by parent or legal guardian.

PLEASE READ CAREFULLY!

I hereby certify that the above information is true and accurate to the best of my knowledge and hereby agree that I WILL NOT be permitted to participate in this tournament if this MEDICAL QUESTIONNAIRE FORM is not completed and returned prior to the tournament to .

CERTIFICATION:

   

Note:

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