Athlete
Registration
Please check and fill in all information.
Incomplete applications will not be accepted.
Emergency Contact: Family member Not traveling with you.
Athlete Info:
Age Division:
2009
TKD at SEA
Open
Cruise Ship
Tournament
have read and agree to the Terms & Conditions set forth for the 2009 TKD at SEA Open.
Please check to indicate you have read, understand, and agree to all the terms, conditions, liability release, concent for medical treatment, and protocols.
have read and agree to the Release of liability set forth for the 2009 Tkd at SEA Open.
have read and agree to the Code of Conduct set forth for the 2009 TKD at SEA Open and will up hold the highest standers
as a Athlete/Coach of the U.S.A.T.
By selecting the submit button, you are registering for the 2009 TKD at SEA Open and are electronically signing this agreement stating that you agree to the terms, conditions, liability release,
concent for medical treatment and protocols indicated.
Insurance Information:
have read and understand All athletes are recommended to have Cruise insurance while participating in the 2009 TKD at SEA Open.This will ensure everyone is taken care of without worries in any unforeseen situation.
The cost is $25 for anyone 34 & under & $35 for 35 -59 passergers 60 + is $40. This will be added to your cruise package.
Incomplete forms will not be accepted.
have read and agree to the Consent for Medical Treatment set forth for the 2009 TKD at SEA Open.
All forms that need signatures mustl be signed at event check-in by Athlete/Coach or Guardian to participate.
understand Medical will be standard first aid.
If anyone requires any additional medical attention they will be responsible for all medical and related bills not covered by their insurance.
First Name
M.I.
Last Name
Address
apt #
City
State
Zip
Ph #
alt ph #
E-Mail
U.S.A.T.#
Confirm E-Mail
Weight
Age
D.O.B. mo/day/yr
Name
ph #
School Name
Belt Level:
Divisions:
Primary Insurance Company
Policy #
Policy Holder's Name
Insurance Phone #
Insurance Address
One Event $50 Two Events $60 Three Events $70
Registration--------------
Register Now
Pay when you check in on the ship!
