POOMSAE ENTRY FORM 2023 TUNZ Open Championship

First name: Surname:

Gender (circle one): Male Female Grade: Age: DOB: / /

Tick here if you are a Para athlete

Poomsae Category: (tick relevant boxes) Traditional Individual [ ] Traditional Pair [ ] Traditional Team [ ]

WT Individual [ ] WT Pair [ ] WT Team [ ]

Pairs name: Pairs partner:

Team name: Team partners:

DECLARATION
I, the undersigned, submit my application for registration as a competitor in the TUNZ Open Championship. In doing so
I declare that:
(1) I meet the eligibility criteria.
(2) The information supplied is true and correct.

Signature of Competitor: _______________________________________________ Date: __________________

Signature of Parent or Guardian: _________________________________________ Date: __________________

(if under 18 years)

Signature of Instructor: _________________________________________________ Date: __________________

Club Name:

Instructor’s name:

Instructor’s phone number:

Instructor’s e-mail address:

Note - If club instructor’s contact details are shown on the team list, they do not need to be replicated above.

ENTRY FEE - See Schedule of Entry Fees in entry pack.

Make the payment to your club. Your Instructor must make ONE payment to Victoria University Taekwondo.

Closing date for registrations – 1 September 2023