TAEKWONDO CHAMPIONSHIP
W
Grandmaster Christopher Chong
elcome to all Grandmasters, Masters, Instructors, Competitors, and Parents.
I am pleased to invite you to this year’s Chong’s Invitational Taekwondo
Championship. This promises to be another exciting and competitive event. Fair and
impartial judging will provide an opportunity for every player to test their skills and to see
their improvements. I look forward to seeing you and wish you success at the
competition.
Date:
Place:
Address:
Registration Fee:
Saturday, April 11, 2015
Pacific Academy (High school gymnasium)
10238 168th Street, Surrey, BC
Early Registration: $50/1 event, $60/2 events
(Due Apr 8th, 2015)
After Apr 8th, 2015: $60/1 event, $70/2 events
or at the door. (US $50 /single or double event for
players from USA)
Registration at door :
Tournament Begins:
Sparring Athletes:
Open Ceremony:
Inquiries & Registration:
9:00 A.M.
9:30 A.M.
Need to arrive at 11:00am
11:00am
Chong’s Taekwondo Academy (604) 838-3880
[email protected]
Admission Fee:
Adult $5, Family $15, Children under 7 free
Awards:
1st 2nd 3rd place medals
Required Equipment:
Head Protector, Arm & Shin Pads, Chest & Groin
Guard, Mouth Guard, WTF TKD Uniform
Events:
Poomsae (Patterns) Gyoroogi (free-Sparring)
Sparring Rounds:
Color Belts: 2 rounds, 1 minute each
Jr. Black Belts: 2 rounds, 2 minutes each
Adult Black Belts: 3 rounds, 2 minutes each
Rules:
Current WTF Rules Apply
All Color Belts and Jr. Black Belts (age 13 & under) NO HEADKICKS ,
Concession:
Available on-site (breakfast & lunch served).
No official lunch break after poomsae competition,
sparring will begin immediately.
All Competitor Registration Procedures: E-mail completed registration form and liability
waiver to [email protected]
Chong’s Invitational Taekwondo Championship
Registration Form
Name:__________________________________ Birthdate:______________ Age:_________ Sex : Male / Female
Address:______________________________________________________________________________________
Street/ City/Province /Postal Code
Phone:________________________________ Belt______________ Weight: _____________ kg
Black Belt Division:________________________ Adult Black Belt: Light/ Middle/ Heavy
Official Black Belt WT. Category _______________ (8 WT. Classes)
35 years old or above - Senior Black Belt: Light/ Heavy
School Name:______________________________________________________
Check √ Choice of
Competition Entry:
Phone:__________________________
1. Poomse only _____
School Address:_________________________________________________________
Street/ City/Province/ Postal Code
2. Sparring only _____
3. Poomse & Sparring _____
School Master / Instructor:________________________________________________
PRINT NAME / SIGNATURE
Amount Paid: $___________
Fee is $60.00 for 1 event and $70.00 for 2 events, cash only, or for registration by mail: certified cheque or
money order payable to Chong’s Taekwondo Academy. Early registration fee is is $50.00 for 1 event and
$60.00 for 2 events which is due Apr 8th, 2015. No personal cheques will be accepted. E-mail completed
registration form and liability waiver to [email protected] For inquiries, please call 604-838-3880.
LIABILITY WAIVER
I, the undersigned, submit this application and the monetary entry fee as consideration for my right to participate in
the Chong’s Invitational Taekwondo Championship to be held on April 11, 2015. I understand and accept that
physical injury and related damages are an inherent and necessary risk of participation in the sport of Taekwondo. I
expressly assume all such risks. I accept full responsibility for the cost of medical or other treatment for any injuries
or damages which I may sustain. I release, hold harmless, and waive all claims against the promoters, operators and
sponsors, individually or collectively, for any and all injury or damage I may sustain while attending or participating
in this Championship, including any claim for negligent supervision and/or maintenance of the facilities. IF
UNDER 18 YEARS OF AGE, THIS RELEASE AND CONSENT FORM MUST BE SIGNED BY A
PARENT OR GUARDIAN.
Signature: _______________________________________
Date: ____________________________
Signature: _______________________________________
Signature of Parent/Guardian if under 18 years of age
Date: ____________________________
FOR OFFICIAL USE ONLY
Chong’s Invitational Taekwondo Championship
PATTERN
Name:__________________________________
School:_________________________________
Age: _________________ Sex: ___________
Belt: _________________ Weight: ______kg
SPARRING
Name: ____________________________________
School: ____________________________________
Age: ___________________ Sex: ____________
Belt: ___________________ Weight: _______kg
Chongs Taekwondo Academy
1-3160 Westwood Street, Port Coquitlam, BC, V3C 3L7