Guidelines for Ban Ki-moon Cup 1st International Taekwondo Championships

Organizing Committee of Ban Ki-moon Cup
International Taekwondo Championships

l	Outline

□ Title: Ban Ki-moon Cup 1st International Taekwondo Championships

□ Period: August 7-8, 2016 (2 days)

□ Event : Poomsae ('form'), Kyorugi (individual, team - domestic, international),           events (scoring, match, breaking), experience event(speed kicking)

□ Opening ceremony : 15:00, August 7 (Sun.), 2016

□ Venue : Eumseong Gymnasium

□ No. of participants : 1,000 (domestic: 700, foreign: 300)

□ Hosted by : Eumseong-gun Sports Council

□ Organized by : Organizing Committee of the International Taekwondo

Championships, World Taekwondo Missionary Association

(WTMA),  Global Vision Christian School

□ Sponsored by : Eumseong-gun, Chungbuk Taekwondo Association,

Eumseong-gun Taekwondo Association, Daejeon Taekwondo                    Association, Global Vision Christian School, GVCS Taekwondo

Academy, Gangdong College, Far East University,                            Eumseong-gun Workers Welfare Center,

Eumseong-gun Multicultural Family Support  Center,

Eumseong-gun Branch of the Korean Federation of Lodging

Industry, Eumseong-gun Office of Korea Foodservice Industry

Association

□ Schedule

Category	Date	Description	Remark
Before the Event	Jun. 18-Jul. 8	○ Receipt of applications	Organizing Committee
	Jul. 11-18	○ Application check and revision	Organizing Committee
	11:00, Aug. 6	○ Team leaders' meeting	Organizing Committee
	14:00, Aug. 6	○ Operating staff training & posting	Organizing Committee
Events and Poomsae Competition	Aug. 6 (1 day)	○ Welcome reception and international referee education (16:00)	Organizing Committee
	Aug. 7 (1 day)	○ Poomsae / competition (Individual, team)	Eumseong Gymnasium
	Aug. 7-8 (1 days)	○ Sparring (Individual, team - Final round)	Eumseong Gymnasium
Official Ceremony	Aug. 7 (Sun.)	○ Opening ceremony and events	Eumseong Gymnasium
	Aug. 8 (Mon.)	○ Award presentation and closing ceremony	Eumseong Gymnasium
Experience	Aug. 9 (Tue.)	○ Hands-on events (Visit to Birth Home of Ban Ki-moon, etc.)	Across Eumseong-gun

※ The said schedule is subject to change depending on the circumstances.

□ Schedule (Events)

Event		Day 1 (Aug. 7)	Day 2 (Aug. 8)	Remark
Authorized Poomsae (Color belt)	All contests	Preliminary round, final round
Authorized Poomsae (Poom holder)	All contests	Preliminary round, final round
Authorized Poomsae	Team	Preliminary round, final round
Sparring(Kyorugi)	Elementary School / Junior High School / Senior I	Team	Preliminary round, final round
Event (Breaking)	Adult (High School/ Senior )		Preliminary round, final round

※ The said schedule is subject to change depending on the circumstances.

Ⅱ	Summary

1. Event

A. Individual competition: 4 events (Classified into 'Domestic' and 'International')

Category		Elementary School	Junior High School	High School	SeniorⅠ	Senior Ⅱ	Senior Ⅲ	Remark
		Low, Mid and High Graders	By Grade	By Grade	29 or younger	39 or younger	40 or older
Authorized Poomsae (Color belt)	Men	●	●	●
	Women	●	●	●
Authorized Poomsae (Poom holder)	Men	●	●	●	●	●	●
	Women	●	●	●	●	●	●
Sparring] (Kyorugi)	Men	●	●	●	●
	Women	●	●	●	●
Speed breaking, high jump breaking (Scoring)	Men	● High School / Senior division
	Women
○ Elementary School: 3 teams - Low graders (1-2nd graders), mid graders (3-4th graders), high graders (5-6th graders) ※ Individual Poomsae only 2 groups - Low graders (1-3rd graders), high graders (4-6th graders)※iKyorugi sector ○ Junior High School: 3 groups - 7th graders, 8th graders, 9th graders ○ High School: 3 groups - 10th graders, 11th graders, 12th graders ○ College: 25 or younger (enrolled college students) ○ Adult: SeniorⅠ, Ⅱ, Ⅲ

B. Team competition: 2 events (Classified into 'Domestic' and 'International')

Category		Elementary School	Junior High School	High School	College	Senior	Remark
		Low/High Graders	Integrated	Integrated	Integrated	Integrated
Authorized Poomsae	Team	●	●	●	●	●
3-membered Sparring	Men	●	●	●	●	●
	Women	●	●	●	●	●
○ Elementary school: 2 groups - Low graders (1-3rd graders), high graders (4-6th graders) ○ Junior high school: 1 group - Integrated ○ High school: 1 group - Integrated ○ SeniorⅠ, Ⅱ, Ⅲ - Integrated

2. Eligibility and classification

A. Player requirements

- A holder of nationality, permanent residency of citizenship of host country

- A holder of poom or black belt issued by Kukkiwon

B. Classification (by age)

- Based on domestic school grades

- According to domestic age standards for international students

3. How to participate

A. Domestic : Able to participate in all events (Aug. 7 -  poomsae, match, parring, team                 competition, Aug. 8 -Kyorugi)

B. International : Able to participate in all events (Aug. 7 -poomsae, match, parring, team                    competition, Aug. 8 -Kyorugi)

4. Competition method

A. Tournament

B. Classification into 'Domestic' and 'International'

C. An international contestant's desire to compete with a domestic player allowed

D. Players Kyorugi domestic and foreign players Integration

5. Uniform

A. All contestants are required to put on a uniform designated by Kukkiwon.

6. Awards

A. A certificate and metal presented to individual contest winners

B. Trophy, certificate and metal presented to team contest winners

7. Team leaders' meeting

A. Date: 11:00, August 6, 2016

B. Venue: The Office of the Organizing Committee (in Eumseong-gun Gymnasium)

8. Submission

A. Application form

- The Office of the Organizing Committee: ☎ 043-872-1145 Fax 872-1148

- Official website: www.essports.or.kr

B. Submission period and method

- Period: June 13 (Mon.) - 18:00, July 8 (Fri.)

- How to submit: Visit the website (www.essports.or.kr) and download the application form. Then, fill out and send it by fax or email (ppk9084@hanmail.net).

- Submission in person: Eumseong-gun Sports Council, Eumseong Gymnasium, 47, Seolseong-ro, Eumseong-eup, Eumseong-gun, Chungbuk

※ No postal mail is accepted.

9. Participation fee

Individual		Team
Local	Foreigner	Local	Foreigner
KRW 20,000	US 20 dollars	KRW 50,000/team	US 50 dollars/team

※ The participation fee is used for souvenir and compensation insurance.

A. Domestic contestants need to pay the fee to the bank account as soon as the application is submitted.
(The Organizing Committee shall not be responsible for any problems arising from the applicant's failure to write down the information.)

E.g.) John Doe from ___ Taekwondo Gym

※ The participation fee not refundable after the confirmation and correction period.

※ International contestants need to pay the fee on the spot.

2. Participation fee paid to: Nonghyup 301-0189-5032-71

10. Others

A. Souvenir, certificate of participation and compensation insurance for all contestants

B. International contestants: Hotel (3 night), meal (breakfast), shuttle bus, participation in various events, metal

C. The matters relating to the event are announced through the website of the Organizing Committee. (www.essports.or.kr).

11. Entry & exit and stay information for international contestants

○ Shuttle bus

- Aug. 6 (Sat.), 2016

Day 1) Kukkiwon (airport) → registration center (Eumseong Gymnasium) → Hotel

Aug. 7 (Sun.)

Day 2) Hotel → Eumseong Gymnasium→ Hotel

Aug. 8 (Mon.)

Day 3) Hotel → Eumseong Gymnasium → Hotel

Aug. 9 (Tue.) Hotel → Ban Ki-moon's birth home → Airport

* The officers and contestants are required to inform their entry & exit and flight schedule to the Organizing Committee by July 24 (Sun.).

* Those who fail to inform the said information could be limited in using a shuttle bus.

○ Board and lodging

- Hotel: August 6 (Sat.) - 9 (Tue.), 2016 (3 nights)

- Meal: August 6 (Sat.) - 9 (Tue.), 2016 (breakfast served)

* The additional board and lodging expenses besides those provided by the Organizing Committee should be individually paid.

Ⅲ	Sub Events

A. Taekwondo experience (Speed Kicking)

B. Performance by the demonstration team

C. Experience of Eumseong Pungmul Market

D. Extra events

E. Special performances

F. Experience of local special products

G. Special event with parent(s)

H. Gift presentation to all contestants

I. Special tour and hands-on programs in connection with Ban Ki-moon's birth home

Ⅳ	Contest Rules and Methods

1. Authorized Poomsae

□. Individual

○ Color belt

A. Contest  : Elementary school(Low graders /mid graders/ high graders),Integrated men and women,

Junior high school/High school-Divided by 'men' & 'women,'

B. Contest method: 1 group with 4 contestants - tournament

C. Award: 1st - certificate, metal; 2nd - certificate, metal; 3rd - certificate, metal (2 winners)

D. Range of Poomsae: Elementary School (Poomsae 3), Junior High School (Poomsae 5), High School (Poomsae 5)

E. Scoring method: The revised contest rules of the World Taekwondo Federation are applied.

F. Poomsae referee: The referees shall be appointed by the Organizing Committee.

○ Individual

A. Poom (Dan) Holder

- Elementary School: 3 groups (Low, Mid and High Gradersr),divided into 'men' and 'women'

- Junior High School: Integrated (7th, 8th and 9th graders)

- High School: Integrated (10th, 11th and 12th graders)

- senior: Divided into 'Men' and 'Women'; tournament competition

B. Contest method: 1 group with 4 contestants - tournament (except for 'Senior' - tournament)

D. Award: 1st - certificate, metal; 2nd - certificate, metal; 3rd - certificate, metal (2 winners)

E. Range of Poomsae

- Elementary school: Taegeuk 6, Goryeo - Final round (Goryeo)

- Junior high school: Taegeuk 8, Goryeo - Final round (Goryeo)

- High school: Goryeo, Taebaek - Final round (Taebaek)

- College:

- Senior: Geumgang - Final round (Taebaek)

F. Scoring method: In accordance with the Poomsae Rules of the World Taekwondo Federation

□ Team

A. Competition : Mixed (3 contestants) permitted

- Elementary school: 2 groups - low graders (1st, 2nd and 3rd graders), high graders

(4th, 5th and 6th graders),

- Junior high school: 1 group (no classification by school grade)

- High school: 1 group (no classification by school grade)

- senior: Integrated

B. Contest method: Cut-off

C. Award: 1st - Trophy,,certificate, metal; 2nd - Trophy, certificate, metal;

3rd - Trophy, certificate, metal (2 teams)

D. Range of Poomsae: Elementary school: Taegeuk 6 (Goryeo); junior high school: Taegeuk 8 (Goryeo); high school: Goryeo, (Geumgang); college, senior: Geumgang, (Taebaek)

E. Judgment: In accordance with the Judgment Rules of the World Taekwondo Federation

2. Sparring(Kyorugi)

1) Contest events and classification

◈ Classification

① The events are held under amateur rules.

② Basically 1 group with 4 contestants → Preliminary round-final round

(tournament by weight); in case of senior (tournament by weight)

- Elementary school: Eligibility limited to the holders of poom issued by Kukkiwon

- Divided into 'Men' and 'Women'; low graders (1st, 2nd and 3rd graders) and high graders

(4th, 5th and 6th graders); divided by weight and group

(If not classifiable by weight or group, the weight classes are integrated as one group.)

- Junior high school: divided by contest, 'men' & 'women' and weight

- High school: divided by contest, 'men' & 'women' and weight

- senior: divided by contest, 'men' & 'women' and weight

2) Contest methods

◈ Individual

① Elementary school: Divided by 'men' & 'women,' school grade, weight and group (4 contestants per group) - tournament

② Junior high school, high school: Divided by 'men' & 'women,' weight and group (4 contestants per group) - tournament

➂ seniorⅠ: Divided by 'men' & 'women,' weight and group tournament

④ In case of a tie score after the completion of the 3rd round, a 4th round of will be conducted after a 20-second break.

(However, in elementary school contests, a 3rd overtime round will be performed in a          20-second break after the 1-minute 2nd round.)

※ However, the said rules are subject to change at a team leaders' meeting.

※ The revised contest rules of the World Taekwondo Federation are applied.

◈ Team competition (3 contestants)

① Classification: 3 contestants

② Team weight class: Low graders (1st, 2nd and 3rd graders), high graders (4th, 5th and 6th graders), junior high school, college and senior

➂ Competition method: 3 contestants during the 1st half (1 minute per contestant); contestant substitutable in the 2nd half (2 minutes)

➃ Duration of contest: After 3 contestants are played (1 minute per contestant), there will be a 2-minute contest in the second half in a 20-second rest.
In case of a tie score, however, there will be a death overtime round played by the team leaders. Then, a contestant who scores first becomes the winner.

➄ Substitution of contestants

- First half of the contest:

Regardless of weight class, 3 contestants are required to play the game by the order of the contestants on the list (1 minutes per contestant). Ten points shall be given to a contestant who knocks down the opponent. Then, the knocked down contestant shall be immediately substituted and prepares for the next match.

If a team has another contestant being knocked down, it shall lose the contest.

- Second half: Contestants are freely substitutable by the assistant coach or head coach. If the substituted contestant can be substituted again after exchanging skills more than 3 times with the opponent. Both contestants cannot be substituted simultaneously.

- How to substitute a contestant: A substitute shall wait out of the boundary line. The assistant coach or head coach shall shout 'gyoche (substitute)' and raise the substitution flag.

Then, the referee shall declare 'galyeo (break)' and 'gyoche' and touch hands on the boundary line. Then, he/she shall declare 'gyesok (continue)' and resume the contest.

(※ Use of lamp: Contestant substitution device)

- Loss by gamjeom (deduction penalty): If a team gets 10 points as gamjeom at a single contest, it shall lose the contest.

- Win by high scores: A team earning 45 points first at a single contest wins the game.

- Sudden death: In case of a tie score after the completion of the contest, team leaders shall have a match. A contest who scores first wins the contest.

- 10-second rule: If both contestants show no sign of attack, the referee shall give them a signal to fight and ‘gyeonggo (warning).'

※ The contestants need to prepare their personal devices.

(Hand & foot protector, headgear, arm & leg protector, groin guard; all contestants are required to put on a mouthpiece. Otherwise, they shall be banned from participating in the contest.)

※ However, the said rules are subject to change at a team leaders' meeting.

3) Duration of contest

① Elementary School: 2 rounds (1 minute per round) (20-second rest between the rounds)

Junior high school, high school, college and senior: 3 rounds (1 minute and 30 seconds per round) (20-second rest between the rounds)

(However, the said duration is subject to adjustment at a team leaders' meeting (individual competition: time, team competition: time and number of rounds)

4) Weighing method

① Weight class is checked at the submission of an application (submitted on the Internet).

② Weight tolerance for sparring (Refer to the Weight Division for Sparring.)

③ Poom / Dan Certificate must be presented at Weigh-in.

④ Men and women (Taekwondo uniform worn): Permitted up to ± 500 grams => Women - upper garment (short T-shirts)

⑤ Weigh-in site: Eumseong Gymnasium

⑥ Date: 18:00 - 20:00 (eve of the event); 19:00 - 21:00 (on the day of the event)

However, weigh-in shall be conducted twice. If a contestant is under or over the limit by 1.5kg at the first weigh-in, he/she shall be disqualified without additional weigh-in. Within the weigh-in time, weigh-in can be performed one more time.

※ Before weigh-in, a coach needs to inform contestants their weight class and contest number and explain them weigh-in procedures. Unless contestants have a stamp on the back of their hand after the weigh-in or affix their seal on the contestant list, they are banned to participate in the event under any circumstances.

5) Referee

Refereed by those appointed by the Organizing Committee

Weight Division for Sparring

<Unit: Kg>

Category	Elementary School			Junior High School (Men)	Junior High School (Women)	High School (Men)	High School (Women)	Senior (Men)	Senior (Women)
	Low Graders (Men/Women)	High Graders
		Men	Women
Junior Pin	Less than 21	28-30	25-28
Pin	21-23	30-32	28-30	Less than 41	Less than 40	Less than 52	Less than 45	Less than 54	Less than 46
Fly	23-25	32-34	30-32	41-45	40-43	52-56	45-48	54-58	46-49
Bantam	25-27	34-36	32-34	45-49	43-46	56-60	48-51	58-63	49-53
Feather	27-29	36-39	34-37	49-53	46-49	60-64	51-54	63-68	53-57
Light	29-31	39-42	37-40	53-57	49-52	64-68	54-57	68-74	57-62
Light Welter	31-33	42-45	40-43	57-61	52-55	-	-	-	-
Welter	33-35	45-49	43-47	61-65	55-58	68-72	57-60	74-80	62-67
Light Middle	35-37	49-53	47-51	65-69	58-62	72-76	60-64	-	-
Middle	37-39	53-57	51-55	69-73	62-66	76-80	64-68	80-87	67-73
Light Heavy	39-42	57-61	55-59	73-77	66-70	80-84	68-72	-	-
Heavy	Over 42	Over 61	Over 59	Over 77	Over 70	Over 84	Over 72	Over 87	Over 73

◈ 3-contestant team competition (sum of 3 contestants' weights)

- Elementary School: Low graders (120Kg); high graders (160Kg); junior high school (180kg); high school (200kg); senior (220kg)

3. Contest event
※ Demonstrative event: For international contestants only

◇ Breaking object and breaking board

○ The breaking targets used for gyeokpa (breaking) are as follows:

Event	Breaking Object	Dimension (L×W×T)
Speed Breaking	Breaking Block (Knife Hand)	40.5cm×14cm×1.6cm
High Jump Breaking	Pine Board	30cm×22cm×0.9cm

※ All breaking objects are provided by the Organizing Committee. The same breaking objects are used during both preliminary and final rounds. However, similar breaking objects should be individually prepared and must go through an inspection prior to the event.

○ For speed breaking and high jump breaking, the breaking boards provided by the Organizing Committee are used.

□ High jump breaking

After an approach run, jump high and break the target with foot.

A. Contest method: Cut-off

B. Contest time: 20 seconds or less

C. Compulsory regulations

1. The contestant shall apply the desired target height before the contest.

2. The contestant cannot apply for less than 5 cm increment for his applying distance.

3. The breaking targets shall be those authorized by the Organizing Committee.

4. Breaking shall be done within 20 seconds after the 'sijak ('start')' command.

5. The approach run should be shorter than 7m.

D. Technical regulations

1. When a contestant successfully breaks the object, he/she is able to challenge the next level. Including the first attempt, a total of 3 attempts are given.

2. After successfully breaking the object at the first attempt, a contestant is free to set the height for his/her 2nd or 3rd attempt. However, the 3rd attempt cannot be done without passing the 2nd attempt.

3. The winer of the final round is able to challenge the record regardless of the number of his/her attempts.

E. Penalty (warning, deduction, disqualification)

1. Penalties are given by the referees.

2. The penalties are warning, deduction, and disqualification.

- One warning penalty shall not be counted.

- Two warning penalties are equal to a 1 deduction.

- One deduction penalty is equal to 1.0 point deduction, and the 1.0 point deduction is equal to a 10cm addition to the height of the breaking object.

3. Penalty shall be given to the following acts:

① Internationally interrupts the opponent's breaking verbally or by act

② Interferes the referee or staff during the competition

③ Exceeds the competition time (1.0 deduction per 10 seconds, and a one point deduction refers to a 10cm addition to the height of the breaking object)

④ The referee can declare a point deduction if the contestant repeats a minor act of the above articles ① and ② after getting the warning penalty, or commits such acts intentionally.

4. Penalties are applied at the challenged breaking contest only.

5. The sum of penalties are deducted from the final scores.

F. Disqualification is given to the following acts:

1. When any parts of the body above the knees touch the ground after breaking (hands on the grounds acceptable)

2. Breaking using an unauthorized skill or technique

3. A contestant participating in the event under the other's name

G. Decision

1. A contestant shall be disqualified unless he/she breaks the object he/she has set.

2. If a contestant fails to break the object at the 2nd or 3rd attempt after successfully breaking it at the 1st attempt, the last successful breaking would be his/her record.

3. If a contestant fails to break the object at his/her second attempt after success at the first attempt is in a tie with the other contestant who fails to break the object at his/her 3rd attempt after successfully breaking it at the 2nd attempt, both contestants shall be given another attempt.

4. A contestant with the highest final record shall be a winner.

5. If the final records are a tie, the contestants are given another attempt. If the records are still the same after the reattempt, a shorter contestant shall be the winner.

□ Speed breaking

It shall be measured by the pushed distance of targets that is broken and pushed back

due to the strike using the knife hand technique with fast speed.

A. Contest method: Cut-off

B. Contest time: 20 seconds

C. Compulsory regulations

1. The breaking targets shall be those authorized by the Organizing Committee.

2. Contestant are banned to put on any material for breaking.

3. The contestant shall place the protective pad provided by the Organizing Committee

on the breaking targets to avoid any injuries.

D. Technical regulations

Knife hand strike breaking breaks the targets with the knife hand or the reversed knife.

E. Penalties (Warning, deduction, and disqualification)

1 Penalties are given by the referees.

2. The penalties are warning, deduction, and disqualification.

3. One warning penalty shall not be counted.

4. Two warning penalties are equal to a 1 deduction.

5. One deduction is equal to 1.0 point deduction, and the 1.0 point deduction shall be a

10cm addition to the record distance.

F. Warning and deduction shall be given to the following acts:

1. Internationally interrupts the opponent's breaking verbally or by act

2. Interferes the referee or staff during the competition

3. Exceeds the competition time (1.0 deduction per 10 seconds, and a one point deduction refers to  a 10cm addition to the record distance)

4. The referee can declare a point deduction if the contestant repeats a minor act of the

above articles 1 and 2 after getting the warning penalty, or commits such acts intentionally.

5. The sum of penalties are deducted from the final scores.

G. Disqualification is given to the following acts:

1. When any parts of the body above the knees touch the ground after breaking

2. Breaking using an unauthorized skill or technique

3. A contestant participating in the event under the other's name

4. The target object is not completely broken.

H. Decision

1. A contestant who completely breaks the target with the target pushed back the least becomes the winner.

2. If the breaking target is completely broken, and the distance of the target pushed back

is the same, the contestants shall be given another attempt.

3. If the scores are still the same even after the reattempt, both contestants shall be co-winners.

Application No.

Application of Ban Ki-moon Cup 1st International Taekwondo Championships

❍ Team

Country		Team
Team Leader		Job Title
Date of Birth		Contact	f)
Address	E-mail:

❍ No. of Participants

Category	Player	Assistant Coach	Head Coach	Officer	Total No. of Participants

❍ Entry and Exit Schedule (*foreign teams only)

Date of Arrival		Flight No.		Airport of Arrival
Date of Departure		Flight No.		Airport of Departure

❍ Participation by Event

Category	Event	No. of Participants			Participation Fee (KRW)	Remark
		Men	Women	Total
Individual	Authorized Poomsae					Individual: KRW 20,000
	Sparring
Event	High Jump Breaking
	Speed Breaking
Sub-total
Team	Authorized Poomsae	_________ Team				Team: KRW 50,000
	3-membered Sparring	_________ Team
Sub-total		_________ Team

I hereby submit this application to participate in Ban Ki-moon Cup 1st International Taekwondo Championships.

MM/DD/2016

Head of the Organization: _______ /Seal/

The Organizing Committee of Ban Ki-moon Cup World Youth Taekwondo Festival

Application No.

Poomsae Contest Participation Form

※ Please out the form (colored belt, poom holder, school grade, male/female) with correct information.

※ Enter your name, date of birth and telephone number correctly for the purchase of compensation insurance policy.

Team		Event	□ Individual □ Doubles □ Colored Belt □ Poom (Dan) Holder * Put a check mark (√) in the box.
Leader		Telephone		☎ F:

No.	Name (Team Name)	Name	Date of Birth	Poom	Poom (Dan) No.	School and Grade	Remark
1
2
3
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5
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15

Application No.

Sparring( Contest Participation Form

※ Read carefully and fill out the form in detail.

※ Enter your name, date of birth and telephone number correctly for the purchase of compensation insurance policy.

Team		Event		□ Individual □ Team * Put a check mark (√) in the box.
Team Leader		Telephone	☎ F:

No.	Weight Class	Name	Gender	Date of Birth	School and Grade	Team	Remark
1
2
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Recording Contest Participation Form

※ Content Events (Gyeokpa ('Breaking'))

※ Enter your name, date of birth and telephone number correctly for the purchase of compensation insurance policy.

※ 19 or older (integrated)

Team		Event	□ High Jump Breaking □ Speed Breaking * Put a check mark (√) in the box.
Team Leader		Telephone

■ Contestant List

No.	Name	Gender	Resident Registration No.	Poom (Dan)	Poom (Dan) No.	Remark
1
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Participation Consent Form

◈ Title: Ban Ki-moon Cup 1st International Taekwondo Championships

◈ Team (No. of Gym):	(Tel)

◈ Name:	(Mobile)

◈ Resident Registration No.:	-

I hereby attest and confirm that I would exempt Eumseong-gun Sports Council and the Organizing Committee from any liabilities regarding an accident or injury during the contest. In addition, I agree to Article 15 (Collection and Use of Personal Information) and Article 17 (Provision of Personal Information) of Personal Information Protection Act for the signing, maintenance and management of the insurance contract.

※ If you are a minor, you must have your parent's signature.

※ The Organizing Committee is buying a group personal accident insurance policy. We shall be responsible for the accidents covered by the insurance only. In addition, the accidents which occur during the event (August 7-8, 2016) are only covered.

MM/DD/2016

Name:	(Signature or Seal)