U.S. Elite

Taekwondo Championships

www.baiktkd.com
Saturday, June 1st , 2024
 

OFFICIAL COACHING PASS FORM

1. Fill out your application completely.
2. Dead line for application is May 18, 2024.
3. A $10 late fee will be accessed in Addition to the appropriate entry fee, if application postmark after May 18, 2024. However application must be arrived in tournament Producer office on May 18, 2024.
4. Make check payable to : Master BAIK and mail to: USA Taekwondo Center, 4760 Oceanside Blvd B4 Oceanside, CA 92056

 
IMPORTANT: PLEASE FILL OUT COMPLETELY & PRINT IN CAPITAL LETTERS ONLY!
LAST NAME FIRST NAME
ADDRESS CITY STATE ZIP
PHONE E-MAIL CONFIRM E-MAIL
TKD SCHOOL NAME MASTER/INSTRUCTOR
TKD ADDRESS CITY STATE ZIP
 



Liability Waiver

In consideration of the acceptance of my participation in the U.S. Elite Championship, I agree to assume the risk incidental to such participation (which risk may include, among other things, muscle injuries and broke bones) and, on my own behalf and on the behalf of my heirs, executors and administrators, release and forever discharge the released parties defined below, of and from all liabilities, claims, actions, damages, cost of expenses, including, but not limited to, attorney’s fees and disbursements. The released parties are the tournament production team and the officers, Referees, Directors, employees, agents, representatives, successors and assigns of each of the following entities. I understand that this release indemnity agreement includes any claims based on the negligence, action or inaction of any of the above released partied and covers bodily injury (including death) and property damage, whether suffered by me, before, during or after such participation. I declare I am physically fit and have the skill level required to participate in this particular event. I further authorize medical treatment for myself, at my cost, if the need arises. I further grant the release parties the right to photograph and/or videotape me and further to use my name, face likeness, voice and appearance in connection with exhibitions, publicity, advertising and promotional material without reservation or limitation. The release parties are, however, under no exercise said rights herein granted.

 

 

 

 

 

COACH Signature Date