You are on page 1of 2

American And Korean Taekwondo Schools 11th Annual Event "Where Warriors Dare" Tournament of Champions

Events Include Categories and Awards


First, Second and Two Third Places will be awarded Open Form/Traditional Forms..........Grand Champion for Black Belts, Color Belts - Adult, Junior, and Peewe Weapons Forms............................................................................................Grand Champion for All Catagories Point Sparring.....................................................................Grand Champion for Black Belts - Male and Female Board Breaking - Three Stations.........................................First, Second and Two Third Places will be awarded

Double Elimination Point Sparring, everyone fights at least twice.

Saturday, March 3, 2012, Van Buren Recreation Center


TIMES: Registration: 10:00-11:00 AM Eliminations Start: 11:00 AM BB Meeting: 10:30 AM This is an AOMA Sanctioned tournament and an AOMA Membership is included in the registration fee! *, *** PREREGISTRATION FEES One Event: Two or more Events: $40.00 ** $45.00 ** REGISTER AT THE DOOR FEE One Event: Two or more Events: $50.00 ** $55.00 ** SPECTATOR FEES Adult and Children $3.00 Children under 12 are Free

Deadline: February 24, 2012 Make checks out to "AKT Schools"

*Please, no personal checks at the door. Absolutely No Refunds.

Location on Saturday, March 3, 2012


Van Buren Twp Recreation Department 46425 Tyler Road Van Buren, MI 48111 www.vanburen-mi.org For More Information Contact: Master Ric Curp, aktkds@yahoo.com

AOMA Taekwondo Rules Will Apply and Membership is Required


* AOMA rules as documented on their website https://www.aoma.us/Competition%20Rules.htm will apply. ** If you are an AOMA member a $10.00 discount applies on the registration price, you must include your AOMA number of the form. *** If your School/Organization would like to consider the benefits of joining the AOMA please contact Gary Eisen at garyeisen@aoma.us

AOMA Membership includes Great Insurance Benifits and a State and National competition circuit.

Michigan is hosting the next National Tournament on August 4, 2012, see www.aoma.us for details.

AMERICAN AND KOREAN TAE KWON DO SCHOOLS ANNUAL TOURNAMENT PRE-REGISTRATION FORM
NAME:_____________________________________________________________EMAIL ADDRESS______________________________ ADDRESS:________________________________________________________________________________________________________ CITY:__________________________________________________________________________STATE:___________ZIP:_____________ TELEPHONE:(_____)________-_________________ DATE OF BIRTH:___________________________ AOMA #:________________ MARTIAL ARTS SCHOOL:_______________________________________________ INSTRUCTOR:___________________________ AGE:_________ HEIGHT:___________________WEIGHT:___________________SEX:_________________RANK:_________________ PLEASE CIRCLE THE FOLLOWING THAT APPLY DIVISION: AGE GROUP: LEVEL: 5 BOARD BREAKING 6/7 8/9 10/11 WEAPONS 12/13 14/15 T/O FORMS 16/17 18/30 POINT SPARRING 31/40 41/ 50 51 & UP

NOVICE (White, Yellow, Orange)

INTERMEDIATE (Green, Purple, Blue)

ADVANCED (Brown, Red)

BLACK BELT

Divisons may be broken into Male/Female and three catagories of Height for Sparring and may also be combined or expanded depending on availible competitors. PLEASE READ RELEASE BELOW AND THE BACK OF THIS FORM AND SIGN
In consideration of acceptance of this registration application, I hereby, for myself, my heirs, executors and administrators waive, release and forever discharge any and all rights and claims for damages which I may sustain, or which may occur to me, against Van Buren Twp., AKT Schools of Martial Arts LLC and its representatives, all instructors, volunteers, physicians, students, members, competitors, officials and against any participant for any and all damages which may be sustained by me in connection with any medical services I may be provided in connection with any injuries or illness. I understand that this tournament involves a body contact sport. I further understand that I may be dismissed from the premises without compensation/refund if my conduct is not cooperative for the successful operation of the tournament. I additionally understand and agree that any photographs taken of me may be used by the tournament director without compensation at this or any other time. I understand that there will be absolutely no refunds of any fees for any reason whatsoever. I agree to be bond by rules and regulation set forth by the AKT Schools of Martial Arts LLC as well as the operation, procedures and policies, including but not limited to: binding arbitration and the release and indemnity of the American and Korean Tae Kwon Do Schools. By paying the participation fee along with the signature on the back of this form, I certify that I have never been convicted of any sex offense nor felony. ATHLETE WAIVER/RELEASE FORM (AGREEMENT) IN CONSIDERATION of being permitted to participate in any way in any AKT Schools of Martial Arts LLC event, I, for myself, my personal representatives, assigns, heirs and next of kin. 1. ACKNOWLEDGE, agree and represent that I understand the nature of the activity and that I am qualified, in good health and in proper physical condition to participate in such an activity. I further agree and warrant that if at any time I believe conditions to be unsafe, I will immediately discontinue further participation in the Activity. 2. FULLY UNDERSTAND that (a) ATHLETIC ACTIVITIES INVOLVE RISK AND DANGERS OF SERIOUS BODILY INJURY INCLUDING PERMANENT DISABILITY. PARALYSIS AND DEATH (RISKS), (b) these Risks and dangers may be caused by my own actions or inactions, the actions or inactions of others participating in the Tournament, the condition in which the tournament takes place, or THE NEGLIGENCE OF THE RELEASES NAMED BELOW, there may be OTHER RISKS AND SOCIAL AND ECONOMIC LOSSES either known to me or not readily foreseeable at this time, and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND RESPONSIBILITY FOR LOSSES, COST AND DAMAGES I incur as a result of my participation or that of the minor in the tournament. 3. HEREBY RELEASE, DISCHARGE AND COVENANT NOT TO SUE the AKT Schools of Martial Arts LLC , Van Buren Twp., including its representatives, the related affiliated and subsidiary companies, as well as the officers, directors, agents, employees, and assigns of each, and the AKT Schools of Martial Arts LLC , clubs, coaches, officials, administrators, members, volunteers, physicians, participants, sponsors, advertisers, and if applicable, owners and lessors of premises on which the tournament takes place, and any other indemnified and held harmless by the AKT Schools of Martial Arts LLC, each considered on the RELEASES herein FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES OR DAMAGES ON MY ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE RELEASES OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS, NEGLIGENT SECURITY, TRAVEL, AND RECREATIONAL OPERATIONS AND ACTIVITIES; AND I FURTHER AGREE that if , despite this RELEASE AND WAIVER, ASSUMPTION OF RISK, AND HARMLESS EACH OF THE RELEASES from any litigation expenses, attorney fees loss, liability, damages or any cost which any may incur as the result of such claim. I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THAT BALANCE, NOT WITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.

Print Name of Participant:_____________________________________________

Date:________________

Participants Signature (only if age 18 or OVER):_____________________________________________________


AND I, THE MINORS PARENT AND/OR LEGAL GUARDIAN UNDERSTAND THE NATURE OF ATHLETIC ACTIVITIES AND THE MINORS EXPERIENCE AND CAPABILITIES AND BELIEVE THE MINOR TO BE QUALIFIED, IN GOOD HEALTH, AND IN PROPER PHYSICAL CONDITION TO PARTICIPATE IN SUCH ACTIVITY. I HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE, AND AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS EACH OF THE RELEASES FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON THE MINORS ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE RELEASES OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATION AND FURTHER AGREE THAT IF, DESPITE THIS RELEASE, I THE MINOR OR ANYONE ON THE MINORS BEHALF MAKES A CLAIM AGAINST ANY OF THE RELEASES NAMED ABOVE, I WILL INDEMNIFY, SAVE AND HOLD HARMLESS EACH OF THE RELEASES FROM ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSS OF LIABILITY, DAMAGE OR COST ANY MAY INCUR AS THE RESULT OF ANY SUCH CLAIM.

PARENT/GUARDIAN SIGNATURE:_________________________________________(Only if participant is under the age of 18)

SEND TO: MAKE CHECK TO: DEADLINE:

AKT Schools, 3049 Woodbury Blvd, Commerce Twp., MI 48390 AKT Schools Postmarked on or before February 24, 2012

You might also like