INDIVIDUAL COMPETITOR ENTRY FORM

 

 

TASLAK 4

 

 
INDIVIDUAL COMPETITOR ENTRY FORM
Family Name First Name  

Photo

 

 

Passport No. Date of Birth
Age Weight (kg)
Representing(Country
Gender  

Male

Female  

 

Division
Competitor Adress
Name of nation E-Mail:
I wish to compete in the following events:-
”  Tull (Pattern)
”    Matsogi (free-Sparring)
WAIVER
I agree to waive all claims against any person(s) connected with the championships, for any
injury I may sustain during this championship. I also release any person(s) connected with the
championship for all claims of damages, demands and actions in any manner due to any
personal injuries, property damage or death sustained as a result of my traveling to and from
and my participation in said Taekwon-Do Championship. I also attest and verify that I do not
suffer from any illness, disease or any mental and physical disorder which might be or become
agravated by entering this championship. I hold myself responsible for my own action and
promise to act in according to the rules and regulations of the championship.

 

Signature of participant: ………………………………..     Passport Number: …………………………………

If under 18 year of age paren tor guardian signature    : ……………………………………………………….

 

POWER BRAKING

 Male:                                                            Female

”  Yopcha Jirugi                                              ”  Yopcha Jirugi

”  Dollyo Chagi                                                           ”  Dollyo Chagi

”  Sonkal Daerigi                                             ”  Sonkal Daerigi

”  Dollyo Dero Chagi                                       ”  Dollyo Dero Chagi

”  Ap- Joomuk Jirugi

”  Bandae Dollyo Chagi

SPECIAL TECHNIQUES

 Male:                                                            Female

”  Twimyo Nopi AP Cha Busigi                                     ”  Twimyo Nopi AP Cha Busigi

”  Twimyo Nomo Yop Cha Jurigi                      ”  Twimyo Nomo Yop Cha Jurigi

”  Twimyo Dollimio Yop Cha Jurigi                   ”  Twimyo Dollyo Chagi

”  Twimyo Dollyo Chagi

”  Twimyo Bandee Dollyo Chagi

 

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