registration form

2016 LIBERTY TAEKWONDO CHAMPIONSHIP
P.O. Box 1578, Hinesville GA 31313
Dear Athletes, Masters and Coaches:
It is with honor and great pleasure to invite you once again to our tenth 2016 Liberty Taekwondo
Championship at Hinesville, Georgia. This tournament will be held on Saturday, October 22, 2016 at the
SHUMAN RECREATION CENTER, located at 800 Tupelo Trail, Hinesville, GA 31313.
Poomse and Gundo competition will start at 9:00 A.M. followed by Sparring. Door registration begins at
8:15 A.M. Cash ONLY, and ends at 11:00 AM. Gundo competition please contact Master William
Sanchez (787) 553-4180
We hope you will add us to your tournament calendar.
This tournament is fun, safe and exciting for everyone, regardless of skill level. We will only
accept certified checks or money orders. This year the 2016 Liberty Taekwondo Championship
will welcome players from FL, GA, SC, NC, TN, KY, VA, NY, AZ,TX, PR and Dominican
Republic. It will give competitors an opportunity to compete against top competitors under
quality conditions. We are proud to say that we expect some excellent competition.
DaeDo/TrueScore E-Hogus for ALL BLACK BELTS (E-Foot Gear needed). Matted Rings and
Electronic Scoring! A limited supply will be for sale at the tournament. It is suggested that all
competitors go to www.truescore.com to pre purchase E- socks.
We are pleased to officially extend this invitation to all the Armed Forces Taekwondo family. Our goal is
to attract members of the United States Armed Forces with a national presence to help us honor the men
and women of US Taekwondo Armed Forces, please contact GM Rafael Medina at 912-572-3252.
We hope that you will support this event and share with us the positive experience that makes this
tournament one that we will look forward to year after year.
You may go to our website for all information on the tournament at www.sport-tkd-center.com.
Please direct all questions to Grand-Master Rafael Medina 912-572-3252([email protected]), Master
Edmond Conyers 912-876-8833 ([email protected]), Master Rafael Lopez 912-604-6962, (Gundo)
Master William Sanchez (787) 553-4180.
Good luck to all of you, and see you on October 22th!
Sincerely,
GM Rafael Medina
WWW.sport-TKD-center.com
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2016 LIBERTY TAEKWONDO CHAMPIONSHIP
P.O. Box 1578, Hinesville GA 31313
Saturday, October 22, 2016
Shuman Recreation Center (GYM)
Hinesville GA, 31313
(912) 877-7557
Check-in and Registration**
8:15AM – 11:00AM
Black and Color Belt Sparring Competitors Weigh-In 8:15AM – 11:00AM
Referee Meeting
Coach Meeting
8:00AM
8:15AM
Opening Ceremony /Award presentation
8:30AM
Black Belt Forms and Gundo Competition
9:15AM
Color Belt Forms and Gundo Competition
Color Belt Sparring and Gundo Competition
Black Belt Sparring and Gundo Competition
ALL BLACK BELT COMPETITORS MUST WEIGH IN
Any division with fewer than three competitors may be eliminated and combined with another division
closest in size and/or rank level. Any division with more than ten competitors may be divided into smaller
divisions. A change of any division is done at the discretion of the Tournament Director and/or the
Division Coordinator. All byes are at the discretion of the Tournament Director and/or the Division
Coordinator.
* Event times are approximate and will be adjusted after check-in is complete.
** . Only plastic water bottles are allowed in the arena.
*** No eyeglasses or safety glasses of any kind will be permitted for sparring.
DaeDo/TrueScore E-Hogus for ALL BLACK BELTS (E-Foot Gear needed)
Matted Rings and Electronic Scoring!
Competitors not Checked in prior to call will be disqualified – NO EXCUSE
NOTE: All black belts, and coaches, should attend the referee meeting to be held at 8:15 A.M.
Referees will get paid if they stay until the tournament is over.
HOTEL ARRANGEMENTS: Your hotel room will be provided with another referee (2 referees
per room).
WWW.sport-TKD-center.com
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2016 LIBERTY TAEKWONDO CHAMPIONSHIP
P.O. Box 1578, Hinesville GA 31313
General Information
DATE: October 22, 2016: door registration begins at 8:15 A.M. (Cash Only), until 11 AM
LOCATION: Shuman Recreation Center (GYM), Hinesville GA, 31313
ENTRY FEE: Adults/Children (6+) $8.00
5 and under FREE
PRE-REGISTRATION DEADLINE:
REGISTRATION FEE: Application must be post marked by October 10th, 2016
$60 one event ---- $65 two events ---- $70.00 three events
LATE REGISTRATION FEE: (After October 11th, 2016):
$65 one event ---- $70 two events ---- $75.00 three events
Registration Fees Are Non Refundable.
Make fees payable to:
Sport Taekwondo Booster Club, Inc.
P.O. Box 1578
Hinesville, GA 31310
(Money order or certified check only)
For questions contact:
GM Rafael Medina
Master Edmond Conyers
Master Rafael Lopez
Master William Sanchez
(Gundo)
(912) 572-3252
(912) 876-8833
(912) 604 -6962
(787) 553-4180
Only plastic water bottles are allowed in the arena.
HOSTED BY: SPORT TAEKWONDO BOOSTER CLUB, INC.
MANDATORY EQUIPMENT:
Olympic Sparring: White uniforms in good condition.
Protective gear: chest protector, headgear, shin-instep pads, forearm pads, mouthpiece, and groin cup
(male) must be worn to compete. No eyeglasses or safety glasses of any kind will be permitted for
sparring. Failure to have the appropriate equipment when called to the ring may result in a penalty.
Modified: USAT rules apply to this tournament. Rules can be downloaded at
http://www.teamusa.org/USA-Taekwondo/V2-Resources/Referee-Information
SPARRING DIVISIONS AND GUNDO DIVISIONS:
Sparring divisions will be divided by age, belt, and weight. The tournament director and/or the Division
Coordinator reserve the right to consolidate divisions to ensure that everyone competes.
Additionally, for all color belt and Black Belt ages 14 and under Junior Safety Rules (No technical
point).
Color Belt 15 -17 Junior Safety Rules (No technical point).
Black Belt 15 – 17 Adult Rules
WWW.sport-TKD-center.com
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2016 LIBERTY TAEKWONDO CHAMPIONSHIP
P.O. Box 1578, Hinesville GA 31313
REGISTRATION FORM
_______________________________ _______________________
_______
Last Name
MI
First Name
_______________________________ ______________________
_____ __________
Address
State
City
Zip Code
(____)__________________________ ___________________________________
Phone Number
E-mail
_____/_____/_____
______
____ lbs.
Date of Birth (mm/dd/yy)
Age
Weight
�Male �Female
____________________________________________ ______________________________
Club Name and Address
Instructor’s Name
Before Oct 10
After Oct 11
�$60 one event
�$65 one event
�$65 two events
�$70 two events
�$70 three events
�$75 three events
Registration Fees Are Non Refundable.
Please Mark an X where applicable in Division and rank as well as weight.
� FORMS: DIV AND RANK:
NOVICE:�white, yellow, orange
INTER: �green, purple, blue
ADV: �red, brown
BLK:
______DAN
WEIGHT
�light �heavy
�light �heavy
�light �heavy
� SPARRING: DIVISION AND RANK:
NOVICE:
�white �yellow �orange
INTERMEDIATE: �green �purple �blue
ADVANCED:
�red �brown
BLACK BELT:
______DAN
� GUNDO
�light
�heavy
�light
�heavy
�light
�heavy
WEIGHT (See page 9, 10):
�light
� middle �heavy
�light
� middle �heavy
�light
� middle �heavy
LIABILITY WAIVER AND RELEASE
In consideration of your acceptance of my entry, I do hereby, myself, my heirs, executors and administration, waive, release, and
forever discharge all rights and claims for damages which I may have or which may accrue to me against the Tournament
Director, Liberty County Recreation Department, LCRD Sport Taekwondo Center, Shuman Recreation Center or their respective
officers, agents, representatives, successors, and/or assignees, and against any competitor for any and all damages which may
arise out of traveling to, participating in, and returning from such athletic competition. I understand that Taekwondo is a body
contact sport, and further understand all the contents of the rules and regulations and general information and I agree with them
entirely. I understand the nature of taekwondo activities and believe that my experience and capabilities, or that of the minor
child, to be qualified to participate in this athletic meet. I understand that taekwondo activities involve risk and dangers of serious
bodily injury, including permanent disability, paralysis and death. These risks and dangers may be caused by me or minor child’s
own actions or inactions, and/or the actions or inactions of others participating in the athletic meet. I fully understand that any
medical treatment I receive will be of the “First Aid” type only. In addition, I consent that any pictures taken of me in connection
with this event can be used for publicity, etc. and I waive compensation in regard hereto.
____________________________________
Signature of Applicant
Date
_____________________________________
Signature of Parent or legal Guardian Date
____________________________________
Printed Name
_____________________________________
Printed Name
WWW.sport-TKD-center.com
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2016 LIBERTY TAEKWONDO CHAMPIONSHIP
P.O. Box 1578, Hinesville GA 31313
Coach Registration
Name: _______________________________________________________________________
Martial Arts school: ____________________________________________________________
Phone: _________________ Email Address: ________________________________________
Entry Fees:
Every school will receive one (1) Complimentary Coaching Pass.
Additional Coaches Fee: $8.00 Amount Enclosed: _______
*Payment must be in cash, certified check or money order – no personal or dojang checks!
**See Coach Requirements Below
Coach Requirements
Participating coaches at the Tenth Liberty Taekwondo Championship are required to
abide by TaeKwonDo's tenets which define the spirit of a good martial artist and the
atmosphere of this tournament:
Courtesy (behavior that demonstrates consideration, cooperation, and generosity)
Integrity (honesty, trustworthiness, and incorruptibility)
Perseverance (determination, commitment, faithfulness)
Self-Control (exercising restraint over one's impulses, self-discipline)
Any coaches yelling undesirable remarks, stopping matches without merit or any
misconduct on the part of the contestant or the coach will result in immediate
disqualification. The coach and his/her team will be escorted off the premises by local
law enforcement.
I have read the coaching requirements and agree to the conditions set above.
Coach’s Signature: _________________________________________ Date: _____________________
WWW.sport-TKD-center.com
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2016 LIBERTY TAEKWONDO CHAMPIONSHIP
P.O. Box 1578, Hinesville GA 31313
Referee Registration
Name: ________________________________________________________________
Martial Arts School: ______________________________________________________
School Address: _________________________________________________________
City: ____________________________ State: ______ ZIP: ______________________
Phone: _________________ Email Address: _________________________________
Referee Certification Level: ________________________________________________
Competition Rules & Regulations
Modified WTF/USAT Rules will govern this tournament.
NOTE: NOTE: All black belts, and coaches, should attend the referee meeting to be held at 8:15
A.M. Referees will get paid if they stay until the tournament is over. HOTEL ARRANGEMENTS:
Your hotel room will be provided with another referee (2 referees per room) at the Econo Lodge.
From Friday, October 11, 2016 if you need additional night please call Master Medina 912-5723252.
Equipment
Sparring competitors must supply their own protective gear. White forearm and shin/instep protectors, mouth
pieces, chest protectors and headgear are mandatory. Protective athletic cup is mandatory for male sparring
competitors. Only plastic water bottles are allowed in the arena. No eyeglasses or safety glasses of any kind will
be permitted for sparring.
Scoring
The valid points are divided as follows:
1 point for a valid attack on trunk protector (Hogu)
3 points for a valid turning kick to the trunk protector (Spinning Back Kick, Back Kick)
3 points for a valid kick to the head
4 points for a valid turning kick to the head (Spinning Back Kick or Tornado Kick)
1 point will be add for every two KYUNG-GO or one GAM-JOM from the opponent.
Additionally, for all color belt and Black Belt ages 14 and under Junior Safety Rules (No technical
point).
Color Belt ages 15 over Junior Safety Rules (No technical point).
Black Belt ages 15 over Adult Rules.
WWW.sport-TKD-center.com
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2016 LIBERTY TAEKWONDO CHAMPIONSHIP
P.O. Box 1578, Hinesville GA 31313
Win by point gap:
Three rounds:
When there is a 12-point gap difference at the end of the second round, and/or at any time during
the third round, the referee shall stop the contest and shall declare the winner by point gap.
Two rounds:
When there is a 12-point gap difference at any time during the second round, the referee shall
stop the contest and shall declare the winner by point gap.
Rounds
Junior Color Belt (6-17) 2 @ 2:00 w/ 30sec
Senior Color Belt (18 & Up) 2 @ 2:00 w/ 30 sec
Junior Black Belt (6-13) 2 @ 2:00 w/ 30 sec
Senior Black Belt (14 & Up) 2 @ 2:00 w/ 30 sec
Finals (14 & Up Black Belts) 3 @ 3:00 w/ 1 min
NOTE: Inability to continue because of fright, crying or loss of will following a legal kick to the head
which did not cause injury does not constitute grounds for disqualification of the attacker.
Junior Safety Rules: Allowed to kick to the head. However, the kick must be light
contact with appropriate control. {Light contact, no injury} will be awarded three (3)
points
Turning kicks: Awarded three points in all junior sparring divisions. (No additional
point for a turning kick to the head)
WWW.sport-TKD-center.com
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2016 LIBERTY TAEKWONDO CHAMPIONSHIP
P.O. Box 1578, Hinesville GA 31313
TRADITIONAL POOMSE
FORMS COMPETITION
DIVISION BREAK-UP:
Beginner
Intermediate
Advanced
Black belt
Beg
Int
Adv
Blk
white, yellow, orange
green, blue, purple
red, brown
up to to 7th gup
6th to 3rd gup
2nd to 1st gup
Color belts are to use form close to their rank.
Black belts are to use recognized form within or close to their rank.
WEIGHT CLASSES
Age
5-7
8-9
10-11
12-14
12-14
15-17
15-17
18-29
18-29
30-40
30-40
41-50
41-50
51-UP
51-UP
sex
M/F
M/F
M/F
M
F
M
F
M
F
M
F
M
F
M
F
rank
Beg/Int/Adv/Blk
Beg/Int/Adv/Blk
Beg/Int/Adv/Blk
Beg/Int/Adv/Blk
Beg/Int/Adv/Blk
Beg/Int/Adv/Blk
Beg/Int/Adv/Blk
Beg/Int/Adv/Blk
Beg/Int/Adv/Blk
Beg/Int/Adv/Blk
Beg/Int/Adv/Blk
Beg/Int/Adv/Blk
Beg/Int/Adv/Blk
Beg/Int/Adv/Blk
Beg/Int/Adv/Blk
light
 55.9 lbs.
 72.9 lbs.
 87.9 lbs.
 112.9 lbs.
 99.9 lbs.
 132.9 lbs.
 124.9 lbs.
 149.9 lbs.
 129.9 lbs.
 149.9 lbs.
 129.9 lbs.
 149.9 lbs.
 129.9 lbs.
 149.9 lbs.
 129.9 lbs.
heavy
 56.0 lbs.
 73.0 lbs.
 88.0 lbs.
 113.0 lbs.
 100.0 lbs.
 133.0 lbs.
 125.0 lbs.
 150.0 lbs.
 130.0 lbs.
 150.0 lbs.
 130.0 lbs.
 150.0 lbs.
 130.0 lbs.
 150.0 lbs.
 130.0 lbs.
Individual Merits
Judges and referee will award scores on the basis of the following merits:
1. Correct and orderly execution of each movement;
2. Degree of proficiency which will be judged on the basis of:
1) Beginning and ending the Poomse at the same spot
2) Executing powerful and speedy techniques by tensing and relaxing muscles at the proper moment
3) Mental concentration
4) Focused eye and head movements
5) Accurate targets
6) Inhaling and exhaling at the proper moments
7) Rhythm
8) Balance
9) Intensity
10) Competition manner and attitude
WWW.sport-TKD-center.com
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2016 LIBERTY TAEKWONDO CHAMPIONSHIP
P.O. Box 1578, Hinesville GA 31313
GYOROOGI
SPARRING JUNIOR COMPETITION
(Color belts ages 17 and below, black belts ages 17 and below)
DIVISION BREAK-UP:
Beginner
Intermediate
Advanced
Black belt
Beg
Int
Adv
Blk
White, yellow, orange
Green, blue, purple
red, brown
up to to 7th gup
6th to 3rd gup
2nd to 1st gup
WEIGHT CLASSES:
Age
5-7
8-9
10-11
12-14
12-14
15-17
15-17
Sex
M/F
M/F
M/F
M
F
M
F
Rank
Beg/Int/Adv/Blk
Beg/Int/Adv/Blk
Beg/Int/Adv/Blk
Beg/Int/Adv/Blk
Beg/Int/Adv/Blk
Beg/Int/Adv
Beg/Int/Adv
Light
 50.9 lbs.
 65.9 lbs.
 80.9 lbs.
 100.9 lbs.
 90.9 lbs.
 125.9 lbs.
 115.9 lbs.
Middle
51.0-70.9 lbs.
66.0-80.9 lbs.
81.0-95.9 lbs.
101.0-125.9 lbs.
91.0-110.9 lbs.
126.0-140.9 lbs.
116.0-135.9 lbs.
heavy
 71.0 lbs.
 81.0 lbs.
 96.0 lbs.
 126.0 lbs.
 111.0 lbs.
 141.0 lbs.
 136.0 lbs.
GYOROOGI
SPARRING SENIOR COMPETITION
(Color belts ages 18 and above)
DIVISION BREAK-UP:
Beginner
Intermediate
Advanced
Beg
Int
Adv
white, yellow, orange
green, blue, purple
red, brown
up to to 7th gup
6th to 3rd gup
2nd to 1st gup
WEIGHT CLASSES
Age
 18
 18
sex
M
F
rank
Beg/Int/Adv
Beg/Int/Adv
Light
 136.4 lbs.
 129.8 lbs.
middle
136.5-171.6 lbs.
129.9-147.4 lbs.
WWW.sport-TKD-center.com
heavy
 171.7 lbs.
 147.5 lbs.
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2016 LIBERTY TAEKWONDO CHAMPIONSHIP
P.O. Box 1578, Hinesville GA 31313
GYOROOGI
SPARRING BLACK BELT COMPETITION
(Ages 14 and above)
Divisions
Fin/Fly
Bantam/Feather
Light/Welter
Light Middle/Middle
Light Heavy/Heavy
15-17 Male
 105.8 lbs.
105.9-121.3 lbs.
121.3-138.9 lbs
139.0-160.9 lbs.
 161.0 lbs
15-17 Female
 97.0 lbs.
97.1-108.0 lbs.
108.1-121.2 lbs.
121.3-138.9 lbs
139.0 lbs
Divisions
Fin/Fly
Bantam/Feather
Light/Welter
Middle/Heavy
18-35 Male
 127.6 lbs.
127.7-147.4 lbs.
147.5-171.6 lbs
 171.7 lbs.
18-35 Female
 112.2 lbs.
112.3-129.8 lbs.
129.9-147.4 lbs.
 147.5 lbs
Divisions
Light
Middle
Heavy
 36 Male
 136.4 lbs.
136.5-171.6 lbs.
171.7 lbs
 36 Female
 129.8 lbs.
129.9-147.4 lbs.
147.5 lbs.
WWW.sport-TKD-center.com
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2016 LIBERTY TAEKWONDO CHAMPIONSHIP
P.O. Box 1578, Hinesville GA 31313
DIRECTIONS
From Macon GA
Take I-16 East to Exit 116
Turn right onto US-301 toward Claxton
Follow US-301 south for 28.2 miles
Pass through Claxton and Glennville
Turn left onto GA-196
Follow GA-196 for 24 miles into Hinesville
Turn right onto GA-196 / Gen. Screven Way
Turn left onto GA-196 / US-84
Follow GA-196 / US-84 for 1.4 miles
Turn right Patriots Trail
At the T-intersection, turn left toward the Shuman Recreation Center
From South-Carolina or Savannah/Hilton
Head International Airport:
Take I 95 South to Exit 76
Turn right onto US-84 toward Midway
Follow Us-84 for 14 miles into Hinesville
Turn left onto Patriots Trail
At the T-intersection, turn left toward the
Shuman Recreation Center
From Florida
Take I-95 North to Exit 76
Turn left onto US-84 toward Midway
Follow Us-84 for 14 miles into Hinesville
Turn left onto Patriots Trail
At the T-intersection, turn left toward the
Shuman Recreation Center
Hotels:
Econo Lodge
(912) 368-2275/5894 (liberty taekwondo) Ask for Tournament Rate
La Quinta Inn
(912) 369 – 3000 (Ask for Tournament Rate)
WWW.sport-TKD-center.com
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2016 LIBERTY TAEKWONDO CHAMPIONSHIP
P.O. Box 1578, Hinesville GA 31313
GUNDO
General Rules
Rounds
Junior Color Belt (6-17) 2 @ 2:00 w/ 30sec
Senior Color Belt (18 & Up) 2 @ 2:00 w/ 30 sec
Junior Black Belt (6-13) 2 @ 2:00 w/ 30 sec
Senior Black Belt (14 & Up) 2 @ 2:00 w/ 30 sec
Finals (14 & Up Black Belts) 2 @ 2:00 w/ 30 sec
The valid points for all divided:
ONE point for a valid attack on trunk protector (Hogu) or head.
Full Deduction points:
If the sword fell.
Attacking with one hand.
Half point Deduction:
Don’t swing the sword like play baseball.
Avoiding the match.
Hit with the butt of the sword.
Equipment
Competitors must supply their own protective gear. Chest protectors and headgear are
mandatory.
WWW.sport-TKD-center.com
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2016 LIBERTY TAEKWONDO CHAMPIONSHIP
P.O. Box 1578, Hinesville GA 31313
Age
Belt Color
Applicable Rules
Yellow
Dragon 6 – 7
Green
Blue
Red
Black
Junior Safety Rules
Yellow
Green
Ninja 8 – 9
Blue
Red
Black
Yellow
Youth 10 – 11
Cadet (12 – 14)
Green
Blue
Red
Black
Yellow
Green
Blue
Red
Black
Junior Safety Rules
Junior Safety Rules
Junior Safety Rules
Junior Safety Rules
Junior Safety Rules
Yellow
Junior (15 – 17)
Senior
Green
Blue
Red
Black
Yellow
Green
Blue
Red
Black
WWW.sport-TKD-center.com
Junior Safety Rules
Adult Rules
Adult Rules
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