2009 AAU Tae Kwon Do Potomac Valley Qualifier
March 14, 2009		This is a Qualifier for the The 2009 National AAU Youth and Adult Tae Kwon Do Championships  June 29 - July 4, 2009 Ft.Lauderdale, FL
		Join us for: · Point Sparring · Olympic Sparring · Patterns · Team Patterns Athletes, Coaches, and Officials Must be 2009 AAU members This is mandatory!
WHEN: Saturday, March 14, 2009 at 10:00 a.m. WHERE: Mount Saint Mary’s University In Emmitsburg, Maryland. COST: Spectators Fee $5.00 $55.00 for one $60.00 for two and $65.00 For Three individual events. !!! All Mail in Applications or FAX FEE OF $5.00 PER EVENT!!!
		All 1st place Black Belt winners will receive custom embroidered Black Belt with 2009 AAU Tae Kwon Do Potomac Valley Champion.
		8 Matted Rings And Electronic Scoring By MATCHTOOL
Hosted by: Da Silva Tae Kwon Do Sanctioned By: Amateur Athletic Union Presented By: Potomac Valley AAU TAE KWON DO matchtool@matchtool.com ONLINE REGISTRATION www.tourneyreg.net Phone: 301-360-9700 Fax: 301-360-9700

INFORMATION SHEET

Pre- Registration Only! NO day of Competition

Registration Deadline: Mail-in - All Application must be postmarked By March 1, 2008.

!!! All mail in applications or Fax FEE OF $5.00 PER EVENT !!!

On-line - All application must be submitted By 12:00 p.m. March, 7 2008.

Mail to: P.O Box 24 Damascus, Maryland 20872

Athlete Check-In: You Should plan to arrive no later then thirty minutes prior to the start of your competition.

Schedule: 9:00 am Doors open

9:00 – 10:00 am Check in

9:30 am Officials Meeting

10:00 am All Youth and Adult Olympic Sparring.

12:30 pm All Black Belt 16 years and older Patterns. And Team Patterns

1:00 pm 5 to 11 years old male & female Patterns & Point Sparring.

2:00 pm 12 to 17 yeas old male & female Patterns & Point Sparring.

3:00 pm All Adult under Black Belt Patterns Point Sparring.

4:00 pm All Adult Black Belt Point Sparring.

Entry Fee:

Till 02/24/09 $45.00 for 1 $50.00 for 2 events - $55 for 3 events $55 for Team Forms Coaches Pass: $10.00

Till 03/07/09 $55.00 for 1 $60.00 for 2 events - $65 for 3 events $55 for Team Forms Coaches Pass: $15.00

Till 03/11/09 $70.00 for 1 $80.00 for 2 events - $90 for 3 events $55 for Team Forms Coaches Pass: $30.00

Spectators Fee: $5.00 (free admission ages 5 & under)

Awards: Custom 2 ¾ inch Gold, Silver and Bronze medals

Sparring: 1^st, 2^nd and two 3^rd places

Patterns: 1^st, 2^nd and two 3^rd places

 
All 1st Place Black Belt winners will receive custom embroidered Black Belt with
2009 AAU Tae Kwon Do Potomac Valley Champion.

AAU Membership All athletes coaches and officials must be an individual member of the AAU and must present their membership card at check-in. Cost of individual membership is $12.00 for ages 5 to 17 and $22.00 for ages 18 and up. This is a qualifier for Potomac Valley athletes, but you are invited to compete in this tournament regardless of which association you may belong. In order for this to be a qualifier for those outside of Potomac Valley, you’ll need to have the permission of the association chairman. For more information, contact Master Albano da Silva.

Officials Certification: Black Belts who are not certified AAU Referees/Judges and who have never officiated at an AAU sanctioned tournament may officiate at this tournament pending the director’s approval. At any future AAU event that individual must have obtained AAU certification in order participate as a tournament official.  All coaches and officials must be current AAU members.

Rules: 2008 AAU Tae Kwon Do rules shall apply. You can download current rules from our web site at www.aautaekwondo.org We advise you to do this.

Uniforms: All competitors must wear a clean WHITE uniform only. Patches and screens are permitted. No rolled sleeves or cuffed pants.

Equipment Point Sparring: The following safety gear is MANDATORY: Foam dipped or vinyl Headgear, Hand gear, Footgear. A protective mouthpiece and a groin cup for males are also needed. Forearm, shin guards and rib guards are optional. Optional equipment must be worn UNDER the uniform.

Equipment Olympic: All competitors must wear an Olympic style chest protector, headgear, Olympic Sparring & instep protectors, and forearm protectors and mouth guard. Males are required to wear a protective cup inside of their Uniform.

Officials / Coaches: Officials: 2009 attire

Registration Form (Please print)

$55.00 for 1 $60.00 for 2 $65.00 for 3 P.O. Box 24

Make Checks/Money Orders Payable to: DSTKD Damascus Maryland 20872
 ON LINE   Registration Phone – 301-360-9700 Fax - 301-360-9700
www.tourneyreg.net matchtool@matchtool.com

AAU Membership: All athletes, coaches, and officials must be current AAU members and be able to present a valid AAU card or completed AAU application form at registration. AAU registration will be available the day of the event. AAU FEES: Youth (under 17):  $12/year Adult (18 and older): $22/year     Competition age is as of August 31st, 2009

PRINT LEGIBLY OR TYPE: Illegible applications will NOT be processed

First Name_____________________________________

Last Name_____________________________________

AAU/Membership Number_________________________(REQUIRED)

Your Current Rank White,Yellow & Orange [ ]

Green,Purple & Blue [ ]

Brown & Red [ ]

1^st Black [ ] 2^nd Black & Up [ ]

Gender Male [ ] Female [ ]

Birthday yyyy-mm-dd - - .

Weight (lbs) _________

Phone ( ) - .

Address__________________________________________

City___________________________

State_____________

Zip ______________

Email Address________________________________

Check events you are competing in: ____Forms    ___Point Sparring   ___ Olympic Sparring ___Team Forms
(Only Advanced belts & Black Belts can enter Point Sparring & Olympic Sparring both)

I hereby certify that I know and understand the rules, policies, and code of conduct for AAU Tae kwon do. I certify that I have entered my self/child in the correct age (as of August 31, 2009) and belt grouping and that I/he/she is qualified to compete according to the specifications outlined in the AAU Tae kwon do and book. I understand I/he/she may be eliminated from the competition if I have misrepresented any of the above information. I agree to waive any claims against any persons, schools, associations connected with this Championship from any injuries I/my child may sustain and likewise assume full responsibility for all my/my child's actions in connection with the Championship. If under 18 - must be signed by a parent/guardian.

Competitor/Parent Signature: ________________________________________ Date: __________

2009 AAU Tae Kwon Do 
Potomac Valley Qualifier

OFFICIALS & COACHES PASS APPLICATION

PLEASE PRINT CLEARLY!

First Name_____________________________________

Last Name_____________________________________

AAU/Membership Number_________________________(REQUIRED)

Your Current Rank White,Yellow & Orange [ ]

Green,Purple & Blue [ ]

Brown & Red [ ]

1^st Black [ ] 2^nd Black & Up [ ]

Coach only No Belt [ ]

Gender Male [ ] Female [ ]

Birthday yyyy-mm-dd - - .

Weight (lbs) _________

Phone ( ) - .

Address__________________________________________

City___________________________

State_____________

Zip ______________

Email Address________________________________

CERTIFICATION NUMBER (Located in license book)_____________

CERTIFCATION CLASS: (circle one) AA A B C D E

LAST CERTIFICATION CLINIC ATTENDED:

Date _____/_____/_____ Location _________________ Instructor______________

Tae Kwon Do School Affiliation:

Chief Instructor________________________ School Name ___________________

School Address _____________________________________Phone______________

I WILL: OFFICIATE_____ COACH_____

I understand that I must be properly attired according to AAU rules:

In order to be on the competition floor I must have attended a clinic within the last 12 months and have my license book in hand at the event.

Signature______________________________ Date_________________