Sat. Aug. 27 2016 Gold Medal Taekwondo Championships Entry Form & Info. See page 2 for schedule! Venue: Las Cruces Convention Center 680 E. University Ave Las Cruces, NM 88001 Mail (postmark by 8/19/16) Gold Medal Taekwondo 519-1 E. Boutz Las Cruces, NM 88001 Or register Online by 8/23/16 www.goldmedaltkd.com or email gmtkd@zianet.com Prices: $50 one event un evento $10 add’l event mas eventos *$10 late fee Aug 25, 26, 27 Special Prices: Refs/Judges: See your application for your special price Competitor Name ________________________________________nombre Phone and/or email_____________________________________ tele/email Age edad _________ Gender : M F Weight _______ lbs. M= hombre, F= Mujer “Weight” es peso en LIBROS (kilo X 2.2)! Mark Closest Belt Division: (Indicar su mejor grupo de cinta) __White __Yellow __Green __Blue __Red __Black Blanco Amarillo Verde Azul Rojo Negro Basic form TG 1/2 TG 3/4 TG 5/6 TG 7/8 If your school uses other belt colors, or forms other than Tae Geuk, ask your instructor which is the most appropriate division for you. Circle Your Events WTF (TG) Forms ** Formas Basic Forms (white belts only) Pone un circulo para su eventos Other forms Formas creativo o armas Sparring Breaking Combate Rompimie ntos Team Form Formas del Equipo *si viaje de mejico, puede pagar al torneo sin penaltidad TKD School: _________________________________ Escuela de TKD Dojang Tel # ______________________ **Name of Form _______________ Pre-order spectator passes : Age 5 & under free. Non participants age 6 and older cost $5 at the door. Registered competitors do not need spectator pass. Number of passes ___ X $3 = ____ Total $ due: Competitor fee ______+ Spectator Passes _____ =_____ Liability Waiver I do hereby voluntarily submit my application for attendance and participation in the above tournament. I understand that Taekwondo is a contact sport and injuries similar to other sports may occur. I do hereby assume full responsibility for any injuries, damages, or losses that I may sustain or incur while attending or participating in said event. I hereby waive all claims against the promoters, operators, sponsors, and officials of the tournament. Furthermore, I waive all claims against the Las Cruces Convention Center and it’s employees. This tournament has a volunteer 1st aide staff and 1st aide supplies available to participants. I hereby give my consent to receive 1st aide treatment from these volunteers. Signature ______________________ Date __________ (Parent or guardian if applicant is under 18 years old) I’ll bring my cup, mouthpiece, and other required gear! Initial ___ I have the map & schedule . Initial ____ Further information for 8/27 2016 Gold Medal Taekwondo Championships. -Map -Schedule - Hotel Choices Fri. Aug. 26 2016 Referee Meeting at GMTKD 6-8 PM Weigh/Check-In Option GMTKD 5-8 PM or at LCCC Saturday about 1 hour before your first event. Sat. Aug. 27 2016 -Event Details If you have questions call 575-526-4429 even on the tournament day H2 Telshor to Albuquerque No exit to El Paso I 25 Exit 1 Triviz 9:20 AM Tae Geuk/Basic Forms Age 8/9 9:40 AM Tae Geuk/Basic Forms Age 10/11 *10:00 AM Other Forms & Breaking Age 3-7* *10:30 AM Other Forms & Breaking Age 8/9* 11:00 AM Sparring ages 3-5 and 6/7 *11:30 AM Other Forms & Breaking Age 10/11* 12:40 PM Sparring Age 8/9 *1:00 PM Other Forms & Breaking Age 12-14 1:30 PM Sparring Age 10/11 *2:00 PM Other Forms & Breaking Age 15 & up 2:30 PM Tae Geuk/Basic Forms Age 12-14 3:00 PM Tae Geuk/Basic Forms Age 15 & up 3:30 PM Sparring Age 12-14 4:00 PM Sparring Age 15 & up Many restaurants Boutz 9:00 AM Tae Geuk/Basic Forms ages 3-7 GMTKD 519 Boutz (Friday check in) University Report to Holding area or *Special Ring* as follows: H3 Missouri 8:00 AM LCCC Open for weigh/Check in El Paseo 2016 Venue: Las Cruces Convention Center 680 E. University Ave Union LCHS H1 I 10 Exit 142 WTF (Tae Geuk) Forms— One division for Tae Geuk 1 & 2, another for 3 & 4, another for 5 & 6, another for 7 & 8, black belts will likely have divisions for Koryo, for Keumgang, and for Taebeck and higher. Scored Basic Forms— For white belts only, performing forms that are simpler/shorter than Tae Geuk 1. Scored Other Forms— This event will include modified traditional forms, forms created by the student, palgwe forms, and any other series of moves performed empty handed or with practice weapons. No music. 90 second time limit. Scored. Suggested Hotels Sparring— Two one-minute rounds for most, 3 2min rounds for black belts 12 & up. Mouthpiece, inH1 Ramada ramadalascruces.com 575-526-4411 step, etc. required. Light contact 3 point head kicks (except for black belts 15 and older which will be full $75+tax for king bed, $85+tax for two queen contact). 1 point bonus for spinning kicks. Single H2 Holiday Inn Express 575-522-0700 elimination! (with indoor pools, breakfast, & wireless internet) register online at www.hiexpress.com/lascruces-n Breaking— You may bring your own boards or other (code TTM for $109+tx a night double queen) H3 Comfort Suites 575-522-1300 $89 hot breakfast, fridge & microwave, 2 queen + pullout Sleep Inn 575-522-1700 $79 2 queen. Reserve early & mention taekwondo tournament! breaking materials. Boards will also be for sale at tournament. Your choice of thickness and number of boards. Deduction for longer than 1 minute to set up.