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4OTH ANNUALNW TAEKWONDOCHAMPIONSHIP
APRIL 13,2013
Mt. Hood Community College Gymnasium26000 SE Stark StreetGresham, OR 97030
WIN SPARRING GEAR(details inside)
500 IN CASH AND PRIZE,
SPARRING • FORM • BREAKING • GIJIUJITSU
DAEDO SYSTEM FOR BLACK BELTS ELECTRONIC SCORING • TOP SCHOOL AWARDS
TOUKNAMENT DIRECTOR: Grandmaster Hung ChoiPRESENTED BY: NW Black Belt Association
IN REMEMBRANCE OF: Grandmaster Toe Hong Choi
FOR INFO 503.252.9833 • FAX: 503.252.2029 • WEB: WWW.ORECONTKD.COM • EMAIL: [email protected]
40™ ANNUAL NW TAEKWONDO TOURNAMENTAPRIL 13, 2013
\ Dear Instructors and Competitors,
is my honor to announce the 40* Annual NW Taekwondo Championship to be held at•. Hood Community College.
is is our annual event, which started in 1973 by our beloved Grandmaster Toe Hong Choi, asintroduced WTF Taekwondo to Oregon. This traditional event has been attended by many of
'. schools in the Pacific Northwest and World renowned competitors, and it has brought many_ _ the Masters, instructors, students and spectators together to share in the camaraderie and the
experience of competition.TOURNAMENT DIRECTOR
GRANDMASTER HUNG CHOI " w nou> ™y duty to continue thts most prestigious and established tournament m Oregon asI rely on your support to make this event the most positive expereice for all.
Good luck to all the schools and participants, and we look forward to seeing you at our tournament.
GRANDMASTERTAB HONG CHOI
1935-2009
Grandmaster Hung Choi
SATURDAY, ARPRIL 13, 2O13• Registration desk opens: 8 a.m. • Breaking events start at 9:30 a.m., all ages. There is no morning or afternoon sessions.• Mt. Hood Community College Gymnasium, 26000 SE Stark Street, Gresham, Oregon, 97030.
REGISTRATION• Pre-registration is recommended and must be post-marked by April 9, 2013.• First 100 pre-registered will be entered into a raffle for one Adidas sparring gear package.• Mail forms to: NW Black Belt Association, 11702 NE Halsey Street, Portland, OR 97220.• Faxed pre-registration forms are accepted only with credit cards, Fax: 503.252.2029.
RULES AND INFORMATION• Visit www.oregontkd.com to download additional application and details of rules and events.
• Age 12 and older, Black Belt divisions, will be able to use the Daedo system; rental of chest gear is $20 at event.Limited number of Daedo socks will be available at the event. To ensure availability you may order ahead of time byemailing: [email protected] at least a week prior to tournament.
ENTRY FEE• Pre-registration: Two events—$70.00 • Each additional event—$10.00• Day of event: $20.00 late fee will be added. *Cash Only* *NO REFUNDS—NO EXCEPTIONS*
ALL DAY PASS$9.00 per person • $5.00 Senior (65 & over) and Children 6 to 12 years • Under 5 years FREE
DIVISIONSMore than 200 divisions provide fairness and safety. Additional divisions will be added for events exceeding themaximum number of participants. The tournament director has the right to change any division at his discretion.
AWARDS• Olympic-style medals will be awarded to 1st, 2nd and two 3rd place winners.• Top Scoring school will be awarded $300.
Gold = 8 points • Silver = 5 points • Bronze = 3 points • Participation = 1 point
COACH PASS$20 per pass. One free pass is issued to every 10 competitors. Please complete the Coach Pass Application.
REFEREE PASSThere is no charge for referee pass. Pre-registered referees will recieve a gift bag.
All officials, referees, instructors, coaches and black belts must attend the 9 a.m. meeting the day of the tournament.
40TH ANNUAL NW TAEKWONDO TOURNAMENTAPRIL 13, 2013
APPLICATION
I am
Q Competitor
Q Referee
a Coach
Coach passes areREQUIRED to be in thering with your competitorduring their event. Onepass will be issued free forevery 10 pre-registeredstudents. Additional passesare $20.00 each. Thepasses include spectatorfee. Picture ID is requiredduring the tournament.
Gender
3 Male
Q Female
Juniors
Q 5 &c under
a 6-7a 8-9a lo-na 12-13
Seniors
u 14-15a 16-17a 18-29
a 30-39
a 40-49
a 50 & Over
Belt Rank
U White
Q Yellow
Q Green
U Blue
a Red & Brown
a Black
Events (check all that apply)
Q Sparring/Gyoroogi
Form/PoomseQ Individual Traditional FormQ Team/Group Traditional FormQ Individual Creative FormU Weapons Form
Breaking (material provided)Q Jump Front KickQ Jump Side KickQ Power BreakQ Combination Break
Q Gi Ju Jitsu
First Name Last Name
Address City State Zip
Home/Cell Phone E-mail
Martial Arts School Instructor
PRE-REGISTER and pay: $70 for 2 event
NUMBER OF EVENTS: Total cost:
Payment Type Deadline Send to
Q Cash
Q Check or Money Order payable to:Northwest Black Belt Association
Q Visa, Mastercard
Q American Express
Card# - - -
Pre-register postmark by:
April 9. 2013
NO REFUNDS
$20 late fee will applyfor lateregistration.
Expiration Date:
Name:
Choi's TKD Academy, LLC
11702 NEHalsey Street
Portland, OR 97220
*Fax: 503.252.2029
*Fax registration availablefor credit cards only
Signature:,
/, the undersigned, do hereby voluntarily participate in the 40h Annual NW Taekwondo Championship being held on April 13, 2013 atMt. Hood Community College. I assume full responsibility for any and all damages, injuries, deaths, or losses which I may sustain or incurwhile attending or participating. I hereby waive all claims against the tournament director, sponsors, officials, and individuals for injuriesincluding their sole or partial negligence on their part which I may sustain. I fully understand that my application fee is non-refundable. Iconsent that any picture furnished by me or any pictures taken of me in connection with the tournament can be used for publicity, promotion,or television showing; and I waive all compensation in regard thereto. I further acknowledge that this martial arts competition is dangerousand can result in injury. I am not entering this competition in reliance on any written or oral representations by Choi's Taekwondo Academy,LLC, Hung Choi, MHCC, or the Northwest Black Belt Association regarding the applicable rules and qualifications for the judges andreferees. I am in good health and physical condition to participate in this tournament. I have read and understand the above agreement.
Competitor's Signature Date Parent/Guardian Signature(Mandatory if competitor is under 18 years of age)
Date
NW Black Belt Association11702 NEHalsey StreetPortland, OR 97220