The 29th Annual KTA Open Tae Kwon Do Championships


Online Registration Form
Contestant Information
Name:   First Name                    Last Name
   Date of Birth: / /     M/F: M F
Address:   Street
 City
 State
 Zip
Belt:  
White Yellow Orange
   
Purple Green Blue
   
Brown Red Black Belt
Phone:      Height:    Weight: lbs.
Email:  
School / Studio Information
School/Studio:      Email:
Instructor:      Master:
Address:   Street
 City
 State
 Zip
Phone:      Fax:
Competition Information
Check the box next to the event(s) for which you want to register
  Poomse / Traditional forms
  Gyrooki / Sparring (Protective Equipment Mandatory)
  Creative forms / Open forms
Entry Fee:   1 Event - $60.00
2 Events - $70.00
3 Events - $80.00
     
  I have read and accepted the Liability Waiver Form, Release, And Indemnification Agreement.
     
   
   
All fields are mandatory

 


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