Registration

Registration Fees:
$75 for one event & $85 for two events ($10 added after deadline)

Registration Deadline:
Wednesday, October 31, 2012
(Entries must be post-marked on or before October 31, 2012)

Cashier’s checks or money orders ONLY.
(No personal checks)
Payable to: SDTA

Send to:
AN’S TAEKWONDO STUDIO
Attn: Master AN1611 S. Melrose Drive #E
Vista, CA 92081

TEL 760-599-6783

Download Registration Form >>
Download Rules >>

Submit Entry Online:

Official Competitor Entry Form

First Name*

Last Name*

Address*

City*

State*

Zip Code*

Phone*

Taekwondo School Name*

TKD School Street Address

TKD School City

TKD School State*

TKD School Zip Code

Master's Name

Event Selection

Please select the events you would like to take part in.

Events*

1 Event - $75

2 Events - $85

Poomse (Form)

Kyorugi (Sparring)

Competitor Information

Age*

Gender*

Male

Female

Belt Color*

Event Waiver

Liabilities and Consent*

LIABILITY WAVIER AND CONSENT TO MEDICAL TREATMENT I hear by submit this registration and liability waiver form to participate in the San Diego Taekwondo Championship. I certify that the above information is true and correct and hereby release, discharge and waiver any and all responsibility of the Serra High School, Tournament Committee, Referees, Instructors and other competitors from liability for any injury, including death, and for damage to or loss of property which may be suffered by myself arising out of, or in any way resulting from or attributable in whole or in part to my traveling to, training for, being coached in, using any sports equipment in, or participating in the San Diego Taekwondo Championship. As a competitor or parent/legal guardian of the competitor, I give consent to any x-ray exam, medical, chiropractic, dental or other treatment(s) deemed necessary for the safety and welfare of the contestant. I understand that this authorization is given prior to any diagnosis, treatments or hospital care being required, but is given to provide the medical/chiropractic/dental staff authority to render care as deemed advisable. In the case of minors, it is understood that efforts shall be made to contact the undersigned prior to rendering treatment, but treatment will not be withheld if the undersigned cannot be reached. I understand that in case of injury, only basic first aid will be made available on site, and that I am fully responsible for any and all resulting medical or other expenses. I further understand that any pictures taken of me in connection with the said Taekwondo Championship may be used by the my school for publicity or promotion without compensation.