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WU KWON MITEC TAEKWONDO INVITATION CHAMPIONSHIP 2019
9
APPENDIX D: ENTRY FORM

INDIVIDUAL PARTICIPATION FORM

(Please Use CAPITAL LETTERS)
Name: LAI SHI NI

IC/Passport No: 04040501

Date of Birth:_
Age: – Years Weight: ___kg
TM Registration No:
Present Grade/Dan:
Gender_
School/Club:
Contact No:
Category:
Age
6-8 9-11
Sparring Event (Please circle): Super Cadet / Cadet / Junior /
Senior Poomsae Event (Please circle): Infant/ Super Cadet/
Cadet / Junior / Senior / (Please tick):
Master 1/2/3 Individual )
Team
Category Infant Super cadet Cadet Junior
Senior Master 1
12-14 15-17 18-30 Under

Master 2
Under
Demonstration Event: Demonstration team (9-12 yrs old) (Only for Wu Kwon Taekwondo Club's
members)
Master 3
Over 50

Insurance (Only applicable to Wu Kwon Taekwondo Club's members) I am aware of the

possibility of being injured by taking part in the Wu kwon MITEC Taekwondo Invitation
Champion 2019, and I hereby undertake and agree that I will not attach any blame or bring civil
proceedings against Organizing Committee of the Wu kwon Mitec Taekwondo Invitation
Championship 2019, its officials, coaches, representatives and other participants. I hereby
confirm that I have duly read, understood and agree to the above mentioned terms and
conditions.

Team Manager / Coach,

Participant / Parent / Guardian of Participant (if < 18 years old)
Name: NRIC NO.: Date:
Name: NRIC No.: Date:
*Please attach a copy of IC/Passport/Latest Grading Cert.