Competitors Registration

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AAU District Championship

Southern Pacific / National Qualifier

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Athlete Info

First Name*

Competitors Last Name*

Competitor's Birthdate*

Month

Day

Year

Competitor's Current Age*

Address*

Phone*

Email*

Taekwondo School*

AAU ID *

Click Here to obtain AAU Membership.

Birthday*

Rank*

GENDER*

Male

Female

Age Bracket*

** According to rules and regulations if an athlete is aging up by December 31, 2025. That athlete must register their age bracket accordingly. For example if an athlete will be turning 10 by the end of 2025, he or she must register as Mini Cadet 10-11 Division.

Weight in KG*

DIVISION MUST INDICATE BASED ON WEIGHT

YOUTH 16-17 FEMALE

EVENTS:

QUALIFYING EVENTS

OLYMPIC SPARRING

TRADITIONAL POOMSAE

SPORT POOMSE INDIVIDUAL

SPORT POOMSAE PAIRS

SPORT POOMSAE TEAMS

EXHIBITION EVENTS:

FREESTYLE POOMSAE

CREATIVE FORM

CREATIVE WEAPON

DEMO COMPETITION

TOTAL NUMBER OF EVENTS*

PAYMENT:

By checking this box I attest that I am of legal adult age or the parent/legal guardian.

By checking this box I attest that I have NOT been convicted of a crime involving physical violence or sex-related offenses.

I agree to the Liability (LIABILITY STATEMENT)

All sales are final. Please contact event host for payment questions and concerns.

Signature*

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Date

Month

Day

Year

Product*

ONE EVENT$150

TWO EVENTS$175

THREE EVENTS$200

FOUR EVENTS$225

FIVE EVENTS$250

MAKE SURE NUMBER OF EVENTS MATCH THE AMOUNT PAID

15 McCoy Place, Simi Valley, CA 93063

Tel: (805) 431 - 1041 / E: masterkwak@amaa-usa.com

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