COMPETITOR'S REGISTRATION FORM
27th ANNUAL OKLAHOMA INVITATIONAL TAEKWONDO CHAMPIONSHIP
February 18, 2012
Carl Albert High School, Titan Field House 2009 S. Post Rd, Midwest City, OK 73130
http://www.gmwons.com

Name	Aqe	Wt	Ht               Sex	
Street Address		Tel:(	J	
Citv	State	ZiD	Belt Color	
Club	SCHOOL/CLUB
Instructor's Name	
Street Address		Tel(	)	
Citv	State	ZiD		
I, the undersigned, hereby waive all claims against In Hui Won, all persons connected with the 27th Oklahoma Invitational Taekwondo Championship, Mid-Del schools, Carl Albert High School, Tournament officials, Grand Master Won's Taekwondo, and/or the U.S. Central Taekwondo Association for any injuries that I may sustain during my participation in the competition. I also assume full responsibility for any of my actions during and in connection with said tournament
I further agree that any pictures taken of or by me in connection with the said Championship can be used by the tournament director for publicity or promotion without compensation at this or any other time.
Competitor's Signature	Date	
If competitor is under 18 years, Signature of Parent/Guardian	
PLEASE CIRCLE YOUR COMPETITION EVENTS:	OFFICIAL FORMS	FIGHTING
PLEASE CIRCLE YOUR SPECIAL EVENTS:    BREAKING	ONE, TWO, OR THREE-STEP SPARRING
SELF-DEFENSE	WEAPONS	FORMS:  CREATIVE	MUSICAL	TEAM         COUPLES

PRE-REGISTRATION & ENTRY FEE
Pre-registration received by: February 15,2012 $65.00 for any two events $20.00 for each additional event Late Fee: add $15.00 at the door

MAKE CHECKS PAYABLE TO:
U.S. CENTRAL TAEKWONDO ASSOCIATION Mail to:
10801 S. Sunnylane Road
Oklahoma City, OK 73160
Tel. (405) 793-0752   Fax (405) 794-0768

REFUND PROCESSING FEE IS $20 or FULL APPLICATION FEE MAY BE APPLIED TO NEXT TOURNAMENT

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