2013 EAST COAST TAE KWON DO OPEN CHAMPIONSHIP GENERAL INFORMATION Date: Saturday, November 16th, 2013 Place: Northern Virginia Community College (Annandale Campus) 8333 Little River Turnpike, Annandale, VA 22003-3796 Fee(s): Participants: $100 for One or Two Events and $120 for all Three Events (On- Site Registration) $80 for One or Two Events and $100 for all Three Events (Pre- Registration) (Late Fee After November 9th: $10 extra per event) Spectator Admission: $10.00 (cash only) – Ticket sales at the door only. Children 4 and under and Adults 65 and over are free. We accept cash, money order, or cashier’s checks only. Please make payable to “M.H. Kang” (No personal check) Mail to: U.S. Tae Kwon Do College 932 S. Walter Reed Dr., Arlington, VA 22204 Contact Info: (703) 521-8100 / (703) 409-4009 Email: tkdcollege@gmail.com www.ustkdcollege.com Deadline: Postmarked by November 9th, 2013 (A late fee of $10.00 may be added to late entries) Schedule: Late Registration (at the door) - 8:30 a.m. – 9:30 a.m. Referees & Judges Meeting Poomse (Forms) - 10 a.m. Board Breaking (Gyukpa) will immediately follow Poomse (Forms) Lunch Sparring (Gyuroogi) will begin approximately at 1 p.m. Coaching: No charge. One pass for every 10 competitors. Competition Modified USAT & WTF rules will govern this championship. Rules: Mandatory Equipment: Sparring: competitors must supply their own sparring gear consisting of: shin and instep protectors, forearm guards, chest protector, headgear, mouth piece and groin cup. Breaking: Boards. You may bring your own or purchase onsite for $2 each. Uniform: Proper uniform. Awards Trophies awarded to 1st, 2nd, 3rd, 4th place winners in all events. Grand Champion: Trophy awarded to competitors who take first place in all three events. 2013 EAST COAST TAE KWON DO OPEN CHAMPIONSHIP 2013 EAST COAST TAE KWON DO OPEN CHAMPIONSHIP OFFICIAL ENTRY FORM Fee(s): Participants: $100 for One or Two Events and $120 for all Three Events (On- Site Registration) $80 for One or Two Events and $100 for all Three Events (Pre- Registration) (Late Fee After November 9th: $10 extra per event) We accept cash, money order, or cashier’s checks only. Please make payable to “M.H. Kang.” No personal checks. Mail to: U.S. Tae Kwon Do College 932 S. Walter Reed Dr., Arlington, VA 22204 Name: Email: Address: Phone #: Home: ( ) Cell: ( ) TKD School Name: Additional Information: Birthdate: MM/DD/YY Weight (lbs): Rank: / Master/Instructor: Name: / Age: Height: Belt Color: Rank: Sex: Dan: I AM ENTERING (please check): Any traditional or WTF Official Form Sparring Breaking LIABILITY WAIVER: I hereby submit this registration and liability waiver form to participate in the 2011 East Coast Open Championship. I certify that the information on this form is true and correct and hereby agree to waive claims against any person, school (academy), or associations connected with Grandmaster Myung Hak Kang, U.S. Tae Kwon Do College, Northern Virginia Community College, USAT, WTF, tournament directors, referees, instructors, coaches, medical staff, and other competitors for any injuries I may sustain, including death, and for damages to or loss of property which may be suffered from myself arising out of or in any way resulting from or attributing in whole or in part to my traveling to, training for and likewise will assume full responsibility for all my actions in connection with the Championship. I also understand further that I shall strictly obey the rules and regulations governing this Championship. I further agree that any pictures or videos taken of or by me in connection with the Championship can be used by the Tournament Director for publicity or promotion without compensation at this time or any other time. Signature: ___________________________________________ (Signature of parent or guardian if under 18 years old) I verify that the applicant is a student at my school and that the above information is correct. Signature: ___________________________________________ (Must have Master’s or Head Instructor’s signature) Form Name: Age: Sparring Name: Sex: Age: Breaking Name: Sex: Age: Rank: Rank: Rank: Belt: Belt: Belt: Sex: 2013 EAST COAST TAE KWON DO OPEN CHAMPIONSHIP OFFICIAL DIVISIONS (Divisions may be modified) SPARRING (Gyuroogi) Age Weight Gender 5 & Under All Weight 6-7 Light/Heavy Male 8-9 Light/Heavy 10-11 Light/Heavy 12-13 Light/Heavy Female 14-15 Light/Heavy 16-17 Light/Heavy 18 & Up Light/Heavy Rank Red White Green Yellow Purple Orange Brown Super Brown Black Semi Black TRADITIONAL/CREATIVE FORMS (Poomse) Age Weight Gender 7 & Under All Weight 8-9 All Weight Male White 10-11 All Weight Green 12-13 All Weight Yellow 14-15 All Weight Purple Female 16-17 All Weight Orange 18 & Up All Weight BREAKING (Gyukpa) Age Weight 7 & Under All Weight 8-9 All Weight 10-11 All Weight 12-13 All Weight 14-15 All Weight 16-17 All Weight 18 & Up All Weight Blue Gender Rank Red Blue Brown Black Super Brown Semi Black Rank Red Male White Yellow Female Orange Brown Green Purple Blue Super Brown Semi Black Black 2013 EAST COAST TAE KWON DO OPEN CHAMPIONSHIP COACH’S REGISTRATION FORM Coach Name: Home Address: Phone #: Home: ( Work: ( ) ) Cell: ( ) Email: Additional Information: Rank: Age: Dan: Sex: TKD School Name and Address: Master/Instructor: Fee: No Charge. One coach’s pass for every 10 competitors. 2013 EAST COAST TAE KWON DO OPEN CHAMPIONSHIP TOURNAMENT LOCATION AND DIRECTIONS From the Capital Beltway (I-495) Take Exit 52-A (Little River Turnpike) west towards Fairfax Make a left at the third traffic light (Wakefield Chapel Road) Once on Wakefield Chapel Road, the campus will be on your left From I-95 Take I-495 toward Tysons Corner Take Exit 52-A (Little River Turnpike) west towards Fairfax Make a left at the third traffic light (Wakefield Chapel Road) Once on Wakefield Chapel Road, the campus will be on your left From Route 66 Exit onto the Capital Beltway (I-495 towards Richmond) Take Exit 52-A (Little River Turnpike) After approximately 1/2 mile, the college will be on the left-hand side From Route 50, Fairfax Area Take Route 50 to Route 236 (Little River Turnpike) Turn right on Wakefield Chapel Road Once on Wakefield Chapel Road, the campus will be on your left