United ITF Nationals Registration

Name*
First Last
Gender*
- Male
- Female
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Enter Email Confirm Email
Date of Birth*
Date Format: DD slash MM slash YYYY
Age on Day of Competition (26/10/19)*
- Under 18
- 18+
Rank (Must indicate - Gup or Degree)*
Club Name*
Instructor's Name*
Are you a 2019 financial member of United ITF Taekwon-Do Australia Inc (INO#23)*
- YES
- NO
All current United ITF Taekwon-Do Australia Inc (INO#23) members receive a $10 subsidy off the entry fee for all INO hosted championships.
Select Events (please tick)*
- Sparring (individual)
- Patterns (individual)
- Power Breaking (13+ yrs only)
- Special Techniques (13+ yrs only)
- Self Defense
- Team Sparring (5ppl)
- Team Patterns (3ppl)
Note: if selecting team events, you must ensure all other members have registered and paid for the same team event. Team age category will be according to the oldest team member.
Number of Events Selected*
- 1 Event
- 2 Events
- 3 Events
- 4 Events
- 5 Events
- 6 Events
Total
$ 0.00
Weight (kgs) - only required if sparring
height (cm) - only required if sparring
Participant waiver*
- I, the undersigned, in consideration of, and as a condition of acceptance of my entry in the tournament hosted by “United ITF Taekwon-Do (Australia) Inc., for myself, my heirs, executors and administrators hereby waive all and any claims, right or cause of action which I or they may otherwise have, for or arising out of loss of life or injury , damage or loss of any description whatsoever, which I might suffer or sustain in the course of, or consequent upon my entry and participation in the said tournament. I understand and accept, that with all participation in sporting events combative in nature, that there is an acceptable element of risk.
Where participant is under 18 years of age, parent or legal guardian must check this box on their behalf.

2019 United ITF Nationals Registration

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